Exam 3:NSG 3250 Exam 3 Review: NSG 3250 Exam 3 Study Guide: Updated A+ Score Guide

Complications of fractures – fat emboli: s/s shortness of breath, petechiae, tachycardia, temp elevated, rapid respirations, hypoxia – compartment syndrome: assess pulses, sensation, temperature, edema, numbness/tingling (this will be first indicator), pallor, pain (distal to the fracture), paralysis – infection: monitor closely in compound/open fracture, scratching under the cast – osteomyelitis: deep bone infection (usually staph), SEVERE, IV antibiotics and hydration long term, can become septic, go into shock – hypovolemic shock CVA – cerebral vascular accident/stroke, s/s facial droop, disphagia, aphasia, weakness and paralysis, left hemisphere stroke causes language issues – wernicke’s is understanding, broca’s is expressive (ask questions in a way that gives simple answers), make sure to take considerations for communicating – hemorrhage: bleed in the brain, ischemic: clot in the brain, tPA is used within 3 hours if they qualify (no anticoagulants of any kind, surgery recently – 2 weeks, any risk of bleeding), TIA: transient ischemic attack, these are temporary – give them anticoagulants Homonymous Hemianopsia – loss of peripheral field of vision on one side (left sided stroke will affect right eye), approach them from the good side, announce yourself, approach from the foot of the bed, teach them to scan their field of vision all the way to side they cannot see so they do not lose recognition of the lost field Hemorrhagic stroke vs Ischemic stroke – hemorrhagic stroke initially has an extreme headache, sudden onset, agitation, sudden pupil reaction/changes, ischemic will have a more gradual onset