Describe skin traction and its purpose for patient treatment

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1. Go through the points of patient education for a patient in a plaster cast. Alter the education for a patient with a fiberglass cast.

2. Explain why T.Y.'s pelvis was not treated.

3. Describe skin traction and its purpose for patient treatment. List 5 nursing care interventions required for a patient placed in skin traction. Explain why these interventions are needed.

4. Provide the rationale behind why a focused respiratory assessment is needed on this patient. What alterations should the nurse be monitoring for.

5. T.Y.'s right arm is swollen and painful. List the first 3 nursing interventions to relieve these symptoms.

Despite the interventions the swelling and pain becomes worse. Upon additional assessment, the extremity has a cap refil >3 sec and skin is pale and cool. The pulse is hard to palpate.

6. What is suspected and explain the pathophysiology behind this. What is the treatment for this?

T.Y. is brought to the OR and an external fixator is placed on the femur.7. List and explain the benefits of an external fixator versus an open reduction internal fixation.

S.D. is a patient status post total hip replacement, returning to the orthopedic unit from the recovery room.

8. Based on the surgery, where is the anticipated fracture site? Explain the rationale behind this surgery vs a hemiplasty.

9. List the top 5 priority nursing interventions the first 24 hours post operatively for a patient after hip replacement.

10. List and explain 5 important points of patient education after a hip replacement to prevent complication.

F.G. is a patient arriving at the hospital for a left knee replacement. Prior to surgery the doctor did an ultrasound because of a history of peripheral vascular disease, a urinalysis and asked about symptoms of an upper respiratory infection.

11. Explain the reasoning and concern behind these actions and how it would impact a patient with a joint replacement.

Post operatively, F.G. is complaining of calf pain. Upon assessment, the nurse notes the operative side is more swollen than the right leg. The leg is warm and red, dorsal pedal and post tibial pulses are palpable.

12. Anticipate the complication these findings indicate and explain pathophysiology behind it.

O.P. is a patient with PMH for Coronary Artery Disease and Diabetes Mellitus and a recent history of a non- healing ulcer on the right foot with osteomyelitis not responsive to antibiotic treatment. The patient has just returned from the OR following a below the knee amputation.13. List and explain the purpose of the top 5 nursing interventions for the first 24 hours post operatively.

14. Compare and contrast the cause, symptoms and treatment for physiological cast syndrome and psychological cast syndrome.

15. Give the rationale of why a patient with foot surgery has a higher incidence of infection than other orthopedic surgeries.

Reference no: EM133445094

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