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Exam (elaborations)

NURS 6202 Final Exam Study Guide | Practice Questions & Answers | Nursing Final Exam Prep 2026/2027

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NURS 6202 Final Exam Study Guide | Practice Questions & Answers | Nursing Final Exam Prep 2026/2027

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8/8/25, 8:32 PM NURS 6202 Final Exam Flashcards | Quizlet



Science Medicine Surgery


NURS 6202 Final Exam
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Terms in this set (616)


open formerly called compound or closed formerly called simple

fractures can be classified as?
can also be classified by patter transverse or oblique or by fragment alignment
displaced, non displaced

the nonsurgical, manual realignment of bone fragments
closed reduction is?
tx following reduction includes traction, casts, splints and braces

is the correction of bone alignment through surgery it may involves the use of wires,
open reduction
screws or pins placed internally or externally

the joints above and below the fracture
fracture immobilization may be
accomplished using a cast. The cast usually
pts require teaching about signs of cast complications so they can contact the HCP
restricts?
promptly

sugar tong splints


posterior splints
for upper extremity injuries what kind of
splints or casts are used?
short and long arm casts are used


a body jacket brace is often used for stable thoracic and lumbar spine injuries

long or short leg c lasts

for lower extremity injuries what kind of
robert jones dressing
splints or casts are used?

splints/immoblizers may be used

what can be used to perform ORIF wires, screws, intramedullary nails or pins

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for ___ fixation a metal frame is attached to external
the bone fragments with pins through the
skin

peripheral circulation (color, temperature, capillary refill, peripheral pulses, and
fractures require nursing assessment of?
edema) and neurologic function (sensation and motor function)

postoperative care following ORIF involves applying general principles of postoperative nursing care

bone infection


avascular necrosis


compartment syndrome
possible complications of fractures include
VTE


FES


shock

Colle's fracture is a fracture of the distal radius

pain


manifestations of colle's fracture swelling


obvious deformity of the wrist

closed reduction and immobilization by splint or cast
management of colle's fracture
if fracture is displaced, internal or external fixation may be used

fractures involving the humeral shaft are a common injury among young and middle
humeral fracture
aged adults

obvious displacement


shortened extremity
manifestations of humeral fracture
pain


abnormal mobility.

depends on fracture location and displacement and may include casting,
tx for humeral fracture
immobilization, or surgery.

range from relatively minor to life threatening, depending on the mechanism of injury
pelvic fractures
and associated vascular damage.

Physical examination may identify local swelling, tenderness, deformity, unusual
manifestations of pelvic fractures
pelvic movement, and ecchymosis on abdomen.

depends on injury severity.


Stables fractures are typically treated with bed rest, possibly with pelvic sling
tx of pelvic fractures
traction.


Unstable fractures require external fixation and/or ORIF.

___ fractures are common in older adults hip




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external rotation, muscle spasm, shortening of affected extremity, and severe pain at
manifestations of hip fractures
the fracture site.

(1) repair with internal fixation devices (e.g., hip compression screw, intramedullary
devices)

surgical tx of hip fractures includes?
(2) replacement of the femoral head with a prosthesis (partial hip replacement), and


(3) total hip replacement (involves both the femur and acetabulum).

avoid turning the patient on the affected side until approved by the surgeon


Teach activity precautions if partial or total hip replacement was performed by the
after surgery for hip fractures what should
posterior approach.
the nurse do?

Assist the patient and caregiver to adjust to restrictions and dependence imposed
by the hip fracture.

femoral shaft fractures are often soft tissue damage and considerable blood loss
accompanied by?

clinical manifestations of femoral shaft include marked deformity and angulation, pain, and the inability to move the hip or
fractures include knee.

stabilizing the patient and immobilizing the fracture


initial management for femoral shaft most often repaired with intramedullary rod
fractures is directed toward
following surgery promoting and maintaining extremity strengths are important goals
of care

A great deal of force is required to produce a tibial injury. It is often complicated by
tibial fractures
infection, FES, malunion, and compartment syndrome.

for a closed fracture of the tibia is reduction and casting
tx for tibial fracture
complicated fractures may require rods, plates or external fixation

stable vertebral fracture is one in which the bone fragments are not likely to cause spinal cord damage

most patients experience only brief periods of disability
symptoms of stable vertebral fracture
symptoms depend on the location and extend of the fracture

most pts with stable spinal fractures experience only brief periods of disability


tx for stable vertebral fracture However, if spinal ligaments are significantly disrupted, dislocation of the vertebrae
may occur. Instability and injury to the spinal cord may result (unstable fracture).
These injuries generally require surgery.

facial fracture Any bone of the face can be fractured as the result of trauma.

The primary concern after injury is to establish and maintain a patent airway.


specific treatment of a facial fracture depends on the site and extent of the fracture
tx for facial fracture
and associated soft tissue injury.
Be sensitive about alterations in patient appearance that may occur following a facial
fracture.

amputation is? the removal of an extremity by trauma or surgery




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PVD

older persons have the highest incidence
atherosclerosis
of amputaiton for tx of?

diabetes

circulatory impairment for PVD


traumatic or thermal injury


indications for amputation include osteomyelitis


malignant tumors


extremity infection

to preserve the greatest extremity length and function while removing all infected,
the goal of amputaiton surgery is
pathologic or ischemic tissue

aimed at relieving pain, improving ROM, correcting deformity, and removing
joint surgery is aimed at?
diseased cartilage.

is the reconstruction or replacement of a joint to relieve pain, improve or maintain
arthroplasty
ROM, and correct deformity.

total joint arthroplasty is the most common orthopedic operation performed on older adults

synovectomy


other types of joint surgeries include osteotomy


debridement

the surgical joint fusion that may be done if articular surfaces are too damaged or
arthrodesis is
infected to allow joint replacement or if reconstructive surgery fails

neurovascualr assessment is performed to evaluate nerve function and circulation


anticoagulation therapy, analgesia, and antibiotics are administered


after joint surgery what should the nurse ambulation is encouraged as early as possible to prevent complications from
assess immobility


pt discharge teaching includes instructions on reporting complications including
infection and dislocation fo prothesis (pain, loss of function, shortening or
misalignment of an extremity)




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