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Exam (elaborations)

NUR 317 EXAM 2 2026/2027 – QUESTIONS, STUDY GUIDE & PRACTICE REVIEW

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NUR 317 EXAM 2 2026/2027 – QUESTIONS, STUDY GUIDE & PRACTICE REVIEW

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NUR 317 EXAM 2 2026/2027 – QUESTIONS, STUDY
GUIDE & PRACTICE REVIEW


1 of 97

Definition



Nonsurgical realignment of bone


complications: neurovascular injury, compartment syndrome,
malunion/nonunion


nursing: 6-P's assessment, immobilization, pain control, education



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Dislocation Open reduction




Closed reduction Open fixation


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, 2 of 97

Definition



Surgical correction with internal fixation


complications: infection, blood loss, neurovascular injury, hardware
issues, thromboembolism, malunion/nonunion


nursing: monitor for complications, pain management, post-op care



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Subluxation Open reduction




Closed reduction Closed fixation


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3 of 97

Term



What are the main drug categories for pain relief?



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, Pharmacological: non-opioid, opioid, adjuvant/co-analgesics
Non-pharmacological: cutaneous stimulation, cognitive therapies, elevation,
physical modalities
Holistic, patient-centered approach integrating multiple disciplines

Mild (Hgb 10–12): palpitations, exertional dyspnea, mild fatigue
Moderate (Hgb 6–10): bounding pulse, dyspnea, fatigue, tinnitus
Severe (Hgb <6): tachycardia, angina, HF, icteric sclera, hepatosplenomegaly,
pallor, bone pain, glossitis, orthopnea, neurologic deficits




GI effects: heartburn (stay upright 30 min), constipation (may need stool
softeners/laxatives)
Teeth staining: use a straw when taking liquid form




Non-opioid: mild pain (acetaminophen, NSAIDs, aspirin, adjuvants)


Opioid: moderate to severe pain
Pure agonists: morphine, hydromorphone, fentanyl, methadone, oxycodone,
codeine (no analgesic ceiling)
Partial agonists: pentazocine, butorphanol (have ceiling; may precipitate
withdrawal)


Co-analgesics/adjuvants: neuropathic pain


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4 of 97

Term



What are common clinical manifestations and complications of iron
deficiency anemia?

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General: pallor, fatigue, weakness
Oral: glossitis (inflamed tongue), cheilitis (cracked lips), burning tongue
Neurological: headache, paresthesia (restless legs)
Other: reduced exercise tolerance, dizziness, irritability




Structures: bone marrow, blood, spleen, lymph system
Functions of blood: transportation, regulation, protection
Blood components: plasma (water, proteins, electrolytes, gases, nutrients, waste) +
blood cells




Administer on empty stomach if tolerated
Take with vitamin C or citrus juice
Avoid milk, antacids, or high-calcium foods at the same time
Monitor for GI discomfort and constipation
Educate patient to use a straw for liquid iron to prevent teeth staining




Cutaneous stimulation: massage, TENS, acupuncture, heat/cold therapy
Cognitive therapies: distraction, hypnosis, guided imagery, relaxation
Elevation: reduce edema to decrease pain


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5 of 97

Definition



Don't get cast wet, remove padding, insert objects, bear weight <48
hrs, cover with plastic long-term

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