Midland Area Revision No: 0 Page: 6 Department Orthopaedic No. Document Routing Draft Released Approved Distribution Date: October 03 Date: November Date: January 04 Date: March, 03 2005 Sign: F. Give pin care once a shift. What intervention is most justified in the care of this patient? A nurse is caring for a patient who is postoperative day 1 right hip replacement. Assess integrity of external fixation device. D Administer nebulized bronchodilators and corticosteroids as ordered.
Traction permits pull on the long axis of the fractured bone and overcomes muscle tension or shortening to facilitate alignment and union. B Patient is able to perform transfers safely. The patient should be encouraged to use the overhead trapeze to shift weight for repositioning. The nurse is helping to set up Bucks traction on an orthopedic patient. Femoral shaft fractures in adults.
What main goal should guide the nurses choice of interventions? B Give the patient a sterile tongue depressor to use for scratching instead of the pencil. How does this change in muscle tone affect the patients traction prescription? Compression stockings must be used correctly, otherwise they 5. Midland Area Revision No: 0 Page: 8 Department Orthopaedic No. A Preventing additional injury B Immobilizing prior to surgery C Providing support D Controlling movement E Promoting bone remodeling Ans: A, C, D Feedback: Braces i. A client has Buck's extension traction applied to the right leg.
B Document this as an expected assessment finding. It does not result from nerve pressure, skin irritation, or spasms. You and your doctor can discuss whether traction is the best option for your particular condition. Each of the other listed goals is unrealistic for the patient who has undergone recent hip replacement. The nurse is reviewing health education prior to discharge. The patient's leg is suspended in a sling and attached to pulleys, strings and weights, which serve to gently draw the bones into alignment.
C Teach the patient to perform ankle and foot exercises within the limitations of traction. A Perform chest physiotherapy once per shift and as needed. Antibiotics, bronchodilators, and steroids are not used on a preventative basis and chest physiotherapy is unnecessary and implausible for a patient in traction. The nurses assessment confirms that the patient is able to perform plantar flexion. Nursing Times 87 51 40-41.
C Elevate the head of the bed to high Fowlers. All writings, discussions, and publications on this website are unclassified. The patient may not be capable of safe independent repositioning at this early stage of recovery. What should the nurse do to prevent dislocation of the new prosthesis? A Inform the primary care provider promptly. One side breaks; the other usually just bends greenstick.
The risk of blood loss is the indication for which of the following actions? The nurse is caring for a patient who underwent a total hip replacement yesterday. The patient needs to be repositioned toward the head of the bed. A Administer pain medication as ordered. Similarly, adherence to treatment is important, but this is motivated by the need to improve functional status. Of Pages:9 Guideline Date: January 04 Guideline Title: Nursing care of a patient on Traction. B Have the patient reposition himself independently.
Sudden pain is rarely indicative of a systemic infection. The purpose of traction is to guide the body part back into place and hold it steady. A nurse is caring for a patient who has a leg cast. The patient is concerned about being on bed rest for several days after the surgery. B Teach the patient to perform deep breathing and coughing exercises. A Straining during a bowel movement B Bending down to put on socks C Lifting items above shoulder level D Transferring from a sitting to standing position Ans: B Feedback: Bending to put on socks or shoes can cause hip dislocation. A nurse is reviewing a patients activities of daily living prior to discharge from total hip replacement.