MARILYN HUGHES (FRACTURE ARM/LEG)|QUESTIONS AND 100% ANSWERS

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The nurse understands that neurovascular assessments should be performed how frequently during the first 24 hrs following application of an immobilization device to a fractured extremity? Correct Answ... er Every hour A major nursing concern following the application of an immobilization device is hourly assessment of the extremity during the first 24 hrs and every 1 to 4 hours thereafter to prevent neurovascular dysfunction or compromise from edema or a constricting immobilization device Which of the following are appropriate initial nursing interventions to control discomfort in a fractured extremity stabilized with a splint or cast? Correct Answer Intermittent cold packs analgesic medication elevation of extremity Pain caused by edema can be reduced in the fractured extremity that has normal neurovascular checks by using intermittent cold packs and elevating the extremity. An analgesic medication is ordered to control pain. Warm compresses and lowering the extremity can increase edema and pain. The nurse understands that assessing neurovascular function in a patient with a brace, splint, or cast is vitally important. Neurovascular assessment findings that indicate neurovascular compromise include which of the following? Correct Answer paralysis paresthesia pallor The "5 Ps" indicative of symptoms of neurovascular compromise are: PAIN, PALLOR, PULSELESSNESS, PARESTHESIA, PARALYSIS When monitoring for potential complications after surgery, what finding would cause the nurse to suspect that the patient is experiencing postoperative bleeding? Correct Answer decrease in hemoglobin Decrease in hemoglobin would suggest bleeding. Hematocrit would also decrease. An increase in WBC could indicate infection. Bleeding and decrease in intravascular fluid volume would cause an increase in Creatinine from decreased blood volume to the kidneys. What assessment findings observed by the nurse would demonstrate poor vascular perfusion to a splinted extremity? Correct Answer decreased pedal pulses pale foot [Show More]

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