NURS 311 - Management of Complex Patient Care Exam with verified solutions

NURS 311 - Management of Complex !| !| !| !| !| !|




Patient Care Exam with verified !| !| !| !| !|




solutions


Closed fractures - Correct answer ✔Fracture that does not disrupt the skin
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Directions of fracture lines - Correct answer ✔Linear
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Oblique

Transverse

Longitudinal

Spiral



Types of displaced fractures - Correct answer ✔Comminuted or oblique
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Types of nondisplaced fractures - Correct answer ✔Transverse, spiral, or
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greenstick



Comminuted Fracture - Correct answer ✔Downward force, many fractures;
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bones can look like gravel
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Avulsion Fracture - Correct answer ✔An injury in which soft tissue is torn
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completely loose or is hanging as a flap; can take bone with it
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,Greenstick Fracture - Correct answer ✔bending and incomplete break of a
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bone; most often seen in children; We see this in kids because bones haven't
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developed fully !|




Impacted Fracture - Correct answer ✔broken bone ends are forced into each
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other !|




commonly occurs when one attempts to break a fall !| !| !| !| !| !| !| !|




Pathological fracture - Correct answer ✔breaking of diseased, weakened bone
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from the stress of normal everyday activities
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Spiral fracture - Correct answer ✔Ragged break occurs when excessive
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twisting forces are applied to a bone
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Clinical Manifestations of a fracture - Correct answer ✔- Immediate localized
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pain

- Decrease in function
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- Inability to bear weight or use affected part
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- Guarding
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- Bone deformity (obvious or not)
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Steps of Bone Healing - Correct answer ✔1 = bleeding at broken ends of the
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bone with subsequent hematoma formation
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2 = organization of hematoma into fibrous network
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, 3 = Invasion of osteoblasts, lengthening of collagen strands, and deposition
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of calcium !|




4 = Callus formation: new bone is built up as osteoclasts destroy dead bone
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5 = Remodelling is accomplished as excess callus is reabsorbed and
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trabecular bone is laid down !| !| !| !|




BOICR



Fracture Assessment - Correct answer ✔1) ABC's
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2) Focused assessment (neurovascular assessment)
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3) Check for any post-op infections. Check if there is any drainage or
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bleeding.



Neurovascular Assessment - Correct answer ✔Peripheral vascular assessment
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and peripheral neurological assessment
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Peripheral Vascular Assessment - Correct answer ✔- Colour
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- Temperature
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- Capillary refill
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- Peripheral pulses (do them together)
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- Edema
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(colour, sensation, warmth, movement)
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Peripheral Neurological Assessment - Correct answer ✔- Sensation (tell me
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when you can feel me touch your toes while eyes closed)
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