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Questions and Verified Answers |
Grade A | 100% Correct
Question:
Amanda Blaire, 14-year-old female, who was in an ATV accident and now has
a fractured tibia and fibula. Her vital signs are Temperature 98.6, HR 87, BP
111/72, RR 18, PaO2 97%. She is post-op day 1 with continuous traction and
skeletal pins to immobilize leg.
Educational Needs - Increased
Health - Increased
LOC - Normal
Pain - Increased
Psych - Normal
Safety - Increased
,Question:
Amanda Blaire
14-year-old female, who was in an ATV accident and now has a fractured tibia
and fibula. Her vital signs are Temperature 98.6, HR 87, BP 111/72, RR 18,
PaO2 97%. She is post-op day 1 with continuous traction and skeletal pins to
immobilize leg.
Physiological
Acute discomfort - True
Alteration in mobility - True
Alteration in nutrition: less than body requirements - False
Alteration in skin integrity - True
Alteration in tissue perfusion - False
Alterations in bowel elimination: constipation - False
Potential for infection - True
Safety
Infection - False
Knowledge deficit - True
Question:
Amanda Blaire Scenario 1
Amanda is due now for a scheduled 2-hour position change.
, Answer:
1. Assess for pain and administer pain medication if needed
2. Instruct patient about the position change and what position will be
achieved
3. Have Amanda use grab bar over bed to assist with turning from left side to
right side
4. Inspect skin for signs of breakdown
5. Use pillows to position Amanda in proper alignment
Question:
Amanda Blaire Scenario 2
Amanda is complaining of increased pain in her injured leg.
Answer:
1. Assess toes for pain, pallor, paresthesia, paralysis, and pulse
2. Assess traction setting to ensure proper alignm
ent
3. Reposition Amanda to more comfortable side
4. Look up pain medication administration schedule and administer if can be
given
5. Reassess pain level in 30 minutes and document findings