What is an open or compound/complex fracture?
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wound extends to the bone
What is the criteria used for classifying Systemic Lupus Erythematosus (SLE)? chart
38-5
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- malar rash
- discoid rash
- photosensitivity
- oral ulcers
- non erosive arthritis
- pleuritis or pericarditis
- kidney disease
- neurologic disease
- hematologic disorder
- immunologic disorder
- positive antinuclear antibody
*a diagnosis is made if 4 or more of the criteria are met
What are the clinical manifestations of advanced hypothyroidism?
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- personality and cognitive changes
- pleural effusion, pericardial effusion, and respiratory muscle weakness
- hypothermia
- abnormal sensitivity to sedatives, opiate drugs, and anesthetic agents
(administer with extreme caution)
What type of pharmacologic therapy is used for anaphylaxis?
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- epinephrine, antihistamines, and corticosteroids may be given to prevent
recurrences of the reaction and to relieve urticaria and angioedema
- IV fluids (normal saline), volume expanders, and vasopressor agents are
given to maintain blood pressure and normal hemodynamic status
, - aminophylline and corticosteroids may be given to improve airway
patency and function
What should be taught to patients with a closed fracture?
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chart 37-2
For pts with adrenocortical insufficiency (Addison disease), how would the nurse
monitor for and manage Addisonian crisis?
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- assess for s/s of shock: hypotension; rapid, weak pulse; rapid respiratory
rate; pallor; and extreme weakness
- advise pt to avoid physical and psychological stressors (cold exposure,
overexertion, infection, and emotional distress)
- immediately treat pt in addisonian crisis w/ IV administration of fluid,
glucose, and electrolytes (especially sodium) w/ replacement of missing
steroid hormones; and with vasopressors
Which factors put individuals at risk for developing osteomyelitis?
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- older age
- poorly nourished or obese
- impaired immune systems
- chronic illness (diabetes, RA)
, - long term corticosteroid or immunosuppressant use
- illicit IV drug use
A nurse is completing a health history with a patient. Which information from the
history alerts the nurse that the patient is at risk for osteoporosis?
A) The patient walks 2 miles per day.
B) The patient has a low Body Mass Index.
C) The patient fractured their arm as a child.
D) The patient drinks 4 glasses of milk per day.
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B) The patient has a low Body Mass Index.
A nurse is caring for a patient who had a cast applied to their lower leg to stabilize a
fracture. The patient has had good pain control with the prescribed pain medications
since the cast was applied. The patient now complains of a 10/10 level pain on the pain
scale one hour after receiving the ordered pain medication. Which action will the
nurse take next?
A) Assess the foot on the affected leg for pain, pallor, paresthesia, pulselessness, and
paralysis
B) Maintaining limb alignment
C) Elevated the affected extremity no higher than heart level
D) Notify the physician
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A) Assess the foot on the affected leg for pain, pallor, paresthesia,
pulselessness, and paralysis
Give this one a try later!
wound extends to the bone
What is the criteria used for classifying Systemic Lupus Erythematosus (SLE)? chart
38-5
,Give this one a try later!
- malar rash
- discoid rash
- photosensitivity
- oral ulcers
- non erosive arthritis
- pleuritis or pericarditis
- kidney disease
- neurologic disease
- hematologic disorder
- immunologic disorder
- positive antinuclear antibody
*a diagnosis is made if 4 or more of the criteria are met
What are the clinical manifestations of advanced hypothyroidism?
Give this one a try later!
- personality and cognitive changes
- pleural effusion, pericardial effusion, and respiratory muscle weakness
- hypothermia
- abnormal sensitivity to sedatives, opiate drugs, and anesthetic agents
(administer with extreme caution)
What type of pharmacologic therapy is used for anaphylaxis?
Give this one a try later!
- epinephrine, antihistamines, and corticosteroids may be given to prevent
recurrences of the reaction and to relieve urticaria and angioedema
- IV fluids (normal saline), volume expanders, and vasopressor agents are
given to maintain blood pressure and normal hemodynamic status
, - aminophylline and corticosteroids may be given to improve airway
patency and function
What should be taught to patients with a closed fracture?
Give this one a try later!
chart 37-2
For pts with adrenocortical insufficiency (Addison disease), how would the nurse
monitor for and manage Addisonian crisis?
Give this one a try later!
- assess for s/s of shock: hypotension; rapid, weak pulse; rapid respiratory
rate; pallor; and extreme weakness
- advise pt to avoid physical and psychological stressors (cold exposure,
overexertion, infection, and emotional distress)
- immediately treat pt in addisonian crisis w/ IV administration of fluid,
glucose, and electrolytes (especially sodium) w/ replacement of missing
steroid hormones; and with vasopressors
Which factors put individuals at risk for developing osteomyelitis?
Give this one a try later!
- older age
- poorly nourished or obese
- impaired immune systems
- chronic illness (diabetes, RA)
, - long term corticosteroid or immunosuppressant use
- illicit IV drug use
A nurse is completing a health history with a patient. Which information from the
history alerts the nurse that the patient is at risk for osteoporosis?
A) The patient walks 2 miles per day.
B) The patient has a low Body Mass Index.
C) The patient fractured their arm as a child.
D) The patient drinks 4 glasses of milk per day.
Give this one a try later!
B) The patient has a low Body Mass Index.
A nurse is caring for a patient who had a cast applied to their lower leg to stabilize a
fracture. The patient has had good pain control with the prescribed pain medications
since the cast was applied. The patient now complains of a 10/10 level pain on the pain
scale one hour after receiving the ordered pain medication. Which action will the
nurse take next?
A) Assess the foot on the affected leg for pain, pallor, paresthesia, pulselessness, and
paralysis
B) Maintaining limb alignment
C) Elevated the affected extremity no higher than heart level
D) Notify the physician
Give this one a try later!
A) Assess the foot on the affected leg for pain, pallor, paresthesia,
pulselessness, and paralysis
