NCLEX - SAUNDERS 7TH EDITION STUDY GUIDE SET QUESTIONS AND ANSWERS

NCLEX - SAUNDERS 7TH EDITION STUDY GUIDE SET QUESTIONS AND ANSWERS Complex deformity of ankle and foot Varus - Inwards bend valgus - outwards bend Equinus - plantar flexion Calcaneus - dorsiflexion - Answer-Congenital clubfoot? Types? During adolescent growth spurt Surgical - Spinal fusion - Answer-We know idiopathic scoliosis is a spinal deformity that involves several types. When does it usually occur? Treatment? Hip condition where femur and pelvis fuse in joint. No blood supply to femur so it begins to die - Answer-Legg Calve Perthes disease? Bucks uses double sling at knee and foot - Answer-We know russel skin traction is used to stabilize a fractured pt before surgery. How is it different from Bucks? Use waterproof tape on cast edes around perineum and buttocks - Answer-Intervention when using a hip spica cast? Spica cast - Answer-Fractures of hip or knee may require what kind of cast? Petal cast edes with waterproof adhesive tape and ensure no rough casing material stays in contact with skin - Answer-How do you ensure a smooth cast edge on a patient? Compartment syndrome - Pressures increase in confined anatomical space causing decreased bloodflow, ischemia and dysfunction. - Answer-Major complication that can occur with casts? Avoid them. They can become sticky or cake under the brace causing irritation. - Answer-Using lotions or creams under braces? Isometric or tensing exercises because they do not involve the joint - Answer-What intervention can you advise a parent to to do when a child is in active joint pain? - elevate - check extent of injury - immobilize - cold packs - monitor neurovascular status - Answer-Emergency nursing actions for a person after a fracture? Cutting is not appropriate. Use smooth adhesive tape. - Answer-What do you do if a cast has rough edges? Do you cut them? Yes - Answer-Surgery for marfan Syndrome? They need cardiac medications to decrease stress on aorta - Answer-Marfan syndrome and cardiac implication? Return dislocated femoral head into acetabulum - Answer-Objective in Ortolani maneuver? Infants foot is turned inwards - Answer-Congenital clubfoot? and if not able to correct by cast within 3-6months surgery is indicated - Answer-Treatment for congenital clubfoot?