Course Objectives (COs): By the end of the course, the student should be able to:
1. Identify competent nursing care for clients with chronic conditions,
... [Show More] utilizing evidence-based practice guidelines (SLO 1,2,5).
2. Differentiate care needs of the elderly adult experiencing alterations in health (SLO 2,3,5).
3. Acknowledge legal and ethical issues in healthcare (SLO 3).
4. Prioritize nursing care for patients with chronic alterations in health (SLO 1.2.4.5).
5. Develop an individualized teaching plan for the client with the goal of improving and maintaining personal health (SLO 1,2,3,4).
6. Correctly calculate medication doses appropriate for the population (SLO 1,5).
THOROUGHLY ANSWER THE FOLLOWING COMPREHENSIVELY and submit by 0730 the
day before Simulation. Incomplete tickets will be returned for redo, and must be returned by the following week’s simulation.
**EACH ANSWER MUST BE paraphrased AND CITE PROFESSIONAL source (Author, year, page). Textbook and NANDA are preferred sources.
1. Paraphrase a description of a comminuted fracture (with source).
a. A comminuted fracture is a fracture that has many fragmentations of bone into pieces (Harding, et al., 2020, p. 447).
2. “Look for complications; if you’re not looking for complications, you won’t find them.” – CDC official, 2020
Compare symptoms of possible complications DVT and ACUTE (not chronic) compartment syndrome. USE CHART PROVIDED.
DVT Compartment Syndrome
Etiology (pathophysiology) A DVT is a formation of a thrombus (blood clot) in a deep vein caused by surgery, trauma, and medications (Harding, et al., 2020, p 813). Compartment syndrome is caused by swelling with increased pressure within limited space. This condition usually occurs with fractures (Harding et al., 2020, p
1460).
(Post op) Prevention Ted hose stockings, IPCs, Assessing the cast making
and allowing patient to move their feet up and down gives good prevention measures (Harding et al., 2020, p
816). sure it is not too tight Assessing skin temperature and color to ensure no ischemia is happening (Harding et al., 2020, p
1460).
Most likely to occur (hours/days?) post op A DVT can occur 5-7 days post op but patient can be at a risk for developing a DVT at any time after surgery (Harding et al., 2020, p 815). • Compartment syndrome can occur
right after surgery due to the body’s response
• it can be delayed several days
• can be ischemic within 4-8 hours (Harding et al., 2020,
p 1460).
Symptoms Symptoms would show swelling, edema, pain, fatigue, heavy sensation, tingling, and fever (Harding et al., 2020, p
815). The six P’s which are pain, paresthesia, pallor, paralysis, pulselessness, and pressure (Harding et al., 2020, p 1460)
NURSING Interventions when diagnosis suspected Vital signs, drug therapy- anticoagulants, and conduct a thorough pain assessment. Change position or get the patient up and moving (Harding et al., 2020, p 815). • Neurovascular assessments
• Careful assessment of pain
• Vital signs
• Reduce traction weight (Harding et
al., 2020, p 1460
Degree of pain Throbbing pain at the site
of where DVT is (Harding et al., 2020, p 815). Dull, aching, throbbing,
sharp or deep pain (Harding et al., 2020, p 1459).
Location of pain Where the femoral or iliac veins would be (Harding et al., 2020, p 815). It occurs knee and leg but can occur in any muscle group (Harding et al., 2020,
p 1460).
Contraindicated nursing interventions after suspicion of diagnosis After suspiscion of DVT nurse should not wear clothing that restricts blood flow, do not apply warmth,
and don’t stand in one spot for too long (Harding et al.,
• DO not elevate leg above heart
• Do not apply cold compressions
(Harding et al., 2020, p [Show Less]