QB 3 Flashcards
Arteriosclerotic Heart Disease (ASHD) and heart failure both require what kind of diet
a low fat, low sodium diet.
A client with arterial and heart disease should adhere to a low-fat, low-sodium diet.
Processed foods, such as hot dogs and ham, and canned foods such as canned soup, are high in sodium. Avocados are high in fat. Fresh or frozen fruits and vegetables, including wild rice, are naturally low in fat and sodium and should be encouraged.
Low sodium is defined as
Low fat diet is defined as
any product containing 140 mg of sodium or less
A diet in which 25% of daily calorie intake comes from fats. It is recommended in managing cardiovascular diseases, elevated cholesterol levels, and diabetes mellitus.
When caring for a client with a cast, the nurse should perform a thorough neurovascular assessment of both lower extremities, focusing on _________________(the 4 Ps)
pain, pallor, pulse, and paresthesia
Heat under a cast is a sign of _______________.
The nurse should first perform a ____________assessment to evaluate circulation
pressure; neurovascular
Fracture Assessment - what would you expect to see ?
Swelling, pallor, ecchymosis, Loss of sensation, crepitus, decreased or absent pulses, deformity
Complications of a fracture
Fat Emboli- occur after fracture of a long bone such as the femur. Fat globules may move into the bloodstream and occlude major vessels. S/S - tachypnea, dyspnea, cyanosis, petechial rash, fever
Delayed Unioned, Malunion, nonunion of the bone
Sepsis
Compartment Syndrome- high pressure within a muscle compartment of the extremity that compromises circulation. Results from bleeding or swelling. high pressure impedes blood flow to the tissue. S/S -swelling, tightness, numbness/tingling in extremity, severe pain (unrelieved pain)
Emergency Care of client with a fracture
nurse should begin to immobilize the joint above and below the fracture. Open fracture should be covered with a sterile dressing. Nurse should check color, temperature, sensation and capillary refill distal to fracture
Fracture Care Implementation- This is immobilization to prevent movement
Splinting
___________________ fixation uses screws, plates and nails to stabilize
Internal
________________ reduction uses surgical dissection for reduction and alignment
Open
_________________ reduction uses manual manipulation or traction
Closed
What is traction?
What are the two types?
A nonsurgical method to correct a fracture
reduces the fracture
alleviates pain and muscle spasms
Prevents or correct deformities
Promotes healing
Skin Traction - pulling force applied to skin
Skeletal Traction - pulling force applied to bone
What is Buck’s tractions?
A form of skin traction used to relieve muscle spasms of the legs and back.
Russell’s traction
combines suspection and traction to immobilize the extremity. Used to treat fractures and contractures of the lower extremity
What are cervical tongs used for ?
To hyperextend the head and neck of a client with a fracture of the cervical vertebrae. Will align the vertebrae and immobilize it
What is a Halo fixation device ?
Prevents immobilization of the cervical spine
Casting immediate care
Don’t cover until dry
handle cast with palms of hands, not fingertips
don’t rest cast on hard surface
keep cast above the level of the heart
Check pulses, color, sensation
Intermediate care for client with the cast
Perform isometric exercise
Check for odors
Don’t put anything into cast
After cast care
wash area gently
apply baby powder, cornstarch to extremity
swelling is very common after removal of cast- elevate legs on pillows and apply elastic bandage
A bruit heard over the abdominal aorta can indicate an ________________.
aneurysm
This finding should be immediately reported to the health care provider for further assessment and intervention.
Abdominal aortic aneurysms (AAA) may be ________________-However, the client may present with__________- onset of pain that occurs in the back or lower abdomen, a feeling of abdominal fullness, shortness of breath, or difficulty swallowing or hoarseness. A common contributing factor is hypertension._________________ is a serious risk for the client with AAA. The client may report severe pain, and use pain descriptors such as “sharp,” “tearing,” “ripping,” or “stabbing.” Nausea and vomiting, diaphoresis, faintness, and apprehension are other manifestations. Aortic dissection is a medical emergency.
asymptomatic; sudden
Aortic Dissection- A tear in the inner layer of the large blood vessel branching off the heart (aorta)
Cachexia
weakness and wasting of the body due to severe chronic illness.
Pubic symphysis .
The pubic symphysis is a secondary cartilaginous joint (a joint made of hyaline cartilage and fibrocartilage) located between the left and right pubic bones near the midline of the body. More specifically, it is located above any external genitalia and in front of the bladder
Communication between a client and health care provider that results in the client’s authorization or agreement to undergo a specific medical intervention. The health care provider must make every effort to ensure the client understands the purpose, benefits, risks, and other options of the test or treatment.
Informed Consent