ORTHO NURSING EXAMS WITH
VERIFIED QUESTIONS AND ANSWERS
Demonstrate nursing management of the post-operative orthopedic patient
- ANSWER-- LOC, ABC, Vitals, Pain, Ins/Outs, CWMS/DVT + pedal pulses
Assess for bleeding and shock
Ambulate early, with no weight bearing on the affected leg
Use of incentive spirometry (d/t risk of atelectasis, pulmonary edema)
Monitor output from any existing drains and check hemoglobin and hematocrit.
Assess effectiveness of pain meds and anesthesia
Describe the nurgement related to a client in traction?
- ANSWER-- - Weight must be hang free and be properly prescribed weight
- Linens should not lie on ropes
- Ropes should remain within pulley without fraying or looseness
, - Unless there is an emergency, weights should not be removed on clients with skeletal
traction in place.
- Skeletal traction requires assessment for signs of inflammation or infection at the entry
sites of pins and needles.
- Assess circulation, pulses, and movement of extremity
- Maintain proper body alignment
Evaluate the need for interprofessional collaboration related to orthopaedic care
- ANSWER-- Orthopedic Surgeon:
-responsible for interventions regarding abnormal surgical outcomes and medications
to prescribe
Primary Nurse:
- Responsible for dressing change, dealing with unstable patients, changing new IV site
LPN:
- Responsible for caring with stable patients only
- Reach to RN first before calling the physician. If symptoms are not relieved from RN
interventions, care is left to the physician.
Physical Therapist:
- responsible for interventions regarding mobilization, appropriate positioning and
movement.
- Post-OP patients may have to meet with the PT first for mobilization before nurses
(but depends on the facility and the situation itself)
How to position the client to get into the bed for post-op leg surgery?
- ANSWER-- Good leg in bed first
VERIFIED QUESTIONS AND ANSWERS
Demonstrate nursing management of the post-operative orthopedic patient
- ANSWER-- LOC, ABC, Vitals, Pain, Ins/Outs, CWMS/DVT + pedal pulses
Assess for bleeding and shock
Ambulate early, with no weight bearing on the affected leg
Use of incentive spirometry (d/t risk of atelectasis, pulmonary edema)
Monitor output from any existing drains and check hemoglobin and hematocrit.
Assess effectiveness of pain meds and anesthesia
Describe the nurgement related to a client in traction?
- ANSWER-- - Weight must be hang free and be properly prescribed weight
- Linens should not lie on ropes
- Ropes should remain within pulley without fraying or looseness
, - Unless there is an emergency, weights should not be removed on clients with skeletal
traction in place.
- Skeletal traction requires assessment for signs of inflammation or infection at the entry
sites of pins and needles.
- Assess circulation, pulses, and movement of extremity
- Maintain proper body alignment
Evaluate the need for interprofessional collaboration related to orthopaedic care
- ANSWER-- Orthopedic Surgeon:
-responsible for interventions regarding abnormal surgical outcomes and medications
to prescribe
Primary Nurse:
- Responsible for dressing change, dealing with unstable patients, changing new IV site
LPN:
- Responsible for caring with stable patients only
- Reach to RN first before calling the physician. If symptoms are not relieved from RN
interventions, care is left to the physician.
Physical Therapist:
- responsible for interventions regarding mobilization, appropriate positioning and
movement.
- Post-OP patients may have to meet with the PT first for mobilization before nurses
(but depends on the facility and the situation itself)
How to position the client to get into the bed for post-op leg surgery?
- ANSWER-- Good leg in bed first
