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NUR 261 Unit 2 Review guide PLEASE BE AS SPECIFIC AS POSSIBLE…
NUR 261 Unit 2 Review guide
PLEASE BE AS SPECIFIC AS POSSIBLE WHEN EXPLAINING
T.Y. was in a motor vehicle accident fracturing a right radius, right femur and pelvis. The patient
is admitted to the ER. The radius is reduced and casted and the right leg is placed in skin traction
and then the patient was sent to the Orthopedic Unit.
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.
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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.
