Exam 3)NSG223 Exam 3 Study Guide: Questions & Answers; Latest Updated Solution

Which assessment is most critical in the early detection of compartment syndrome for a patient with a leg cast? (Ans- pain assessment Nurse teaching a client with cast how to prevent disuse syndrome. What should nurse include in teaching? (Ans- Tense and contract muscles without moving underlying bone Elastic bandage of amputation fell off, what's your priority action? (Ans- Put a sterile elastic bandage on. Patient post-op complaining of pain in the phantom limb what should the nurse do? (Ans- Assess their pain level using numerical pain scale 0-10 How should the nurse assess a patient for neurovascular checks? (Ans- Assess skin temperature, color, and capillary refill How should the nurse assess a patient for neurovascular checks? (Ans- 6 P's- pain, pallor, pulselessness, paresthesia, & paralysis, poikilothermia Older patient just received a new amputation. Which medication would the nurse question? (Ans- Meferdipine A patient states "I feel worthless"...how should the nurse respond? (Ans- Tell me more about what worthless means What is the medical management for GBS? (Ans- ICU mgt. With continuous monitoring and respiratory support (ventilation or intubation) Pain is believed to be neurogenic in origin...known as what disease? (Ans- Fibromyalgia What drug is used for long-term treatment of Myasthenia Gravis (Ans- Neostigmine Autoimmune disorder affecting the myoneural junction is known as what disease? (Ans- Myasthenia Gravis What happens if a patient with MG is administered medications too early? (Ans- Cholinergic crisis (respiratory failure)