NCLEX RN MED SURG GUIDE - UWorld Nclex General Critical Thinking and Rationales

NCLEX RN MED SURG GUIDE - UWorld Nclex General Critical Thinking and Rationales Injury Patterns in Nonaccidental Trauma Signs of Abuse: - long bone fractures in humerus or femur - Shaken baby syndrome - linear type immersion burns - Burns in the shape of household items - frenulum tears & gingival lesions - Repeated injuries in varied stages of healing - subdural & epidural hematomas - lapsed time between injury and time when care is sought - retinal hemorrhage on funduscopic exam - Inconsistency between injury & caregiver’s explanation Room Assignments When preparing room assignments, the nurse should not place a client who has a fresh surgical wound or is immunocompromised in a room with a client who has an active or suspected infection. Suicide Clients who articulate long-term personal goals and family milestones are less likely to commit suicide. Bone Healing Bone healing depends on multiple factors, including nutrition, adequate circulation, and age. A client with peripheral arterial disease has decreased perfusion to the extremities due to atherosclerotic changes in the arteries. Without adequate perfusion, the bone is not supplied with the oxygen and nutrients required for healing.