Bone Disorders & Perioperative Care FVF N343

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Questions and Answers

Which of the following conditions is characterized by increased bone fragility and the risk of fractures due to reduced bone density?

  • Osteoporosis (correct)
  • Rhabdomyolysis
  • Gout
  • Osteomyelitis

What is the primary concern during the postoperative care of a patient who has undergone an open reduction and internal fixation (ORIF)?

  • Infection prevention (correct)
  • Patient education
  • Mobility restoration
  • Pain management

Which symptom is most commonly associated with acute compartment syndrome?

  • Swelling and tightness (correct)
  • Decreased range of motion
  • Pulsating pain
  • Numbness and tingling

What is the recommended first step in managing a patient suspected of having deep vein thrombosis (DVT)?

<p>Assess and monitor vital signs (A)</p> Signup and view all the answers

Which of the following interventions is NOT a priority for the management of pneumonia post-surgery?

<p>Limiting fluid intake (A)</p> Signup and view all the answers

Which of these is NOT a common sign or symptom of sleep deprivation?

<p>Increased alertness (C)</p> Signup and view all the answers

In the context of refeeding syndrome, which electrolyte imbalance is most critical to monitor during nutritional rehabilitation?

<p>Hypophosphatemia (A)</p> Signup and view all the answers

Which vitamin is essential for collagen synthesis and plays a crucial role in wound healing?

<p>Vitamin C (A)</p> Signup and view all the answers

What is typically the most critical factor to educate patients about when prepping for surgery?

<p>Signs and symptoms before surgery (D)</p> Signup and view all the answers

Which of the following is NOT a typical intervention for improving sleep hygiene?

<p>Using electronic devices before bed (B)</p> Signup and view all the answers

What is a clinical manifestation associated with the excess or deficit of fluids in the body?

<p>Decreased urine output (C)</p> Signup and view all the answers

Which type of IV fluid would be appropriate for treating hyperkalemia?

<p>5% Dextrose in 0.45% Normal Saline (A)</p> Signup and view all the answers

What distinguishes a hypotonically administered IV fluid from other types?

<p>It causes cells to swell due to fluid influx. (D)</p> Signup and view all the answers

In chronic kidney disease (CKD), which lab finding is typically expected?

<p>Elevated creatinine levels (B)</p> Signup and view all the answers

Which of the following is a primary cause of acute kidney injury (AKI)?

<p>Prolonged dehydration (C)</p> Signup and view all the answers

Which treatment option is typically prioritized for managing peritonitis?

<p>Antibiotic therapy (C)</p> Signup and view all the answers

What distinguishes a lower gastrointestinal (GI) bleed from an upper GI bleed in terms of assessment findings?

<p>Rectal bleeding (C)</p> Signup and view all the answers

Which of the following medications should be avoided in the treatment of peptic ulcer disease?

<p>Nonsteroidal anti-inflammatory drugs (NSAIDs) (B)</p> Signup and view all the answers

Which statement accurately describes a feature of atopic dermatitis?

<p>It can lead to severe complications if untreated. (C)</p> Signup and view all the answers

Which type of urinary incontinence is characterized by the involuntary loss of urine due to increased abdominal pressure?

<p>Stress incontinence (A)</p> Signup and view all the answers

Flashcards

Types of fractures

Different ways bones can break, including transverse, oblique, spiral, and comminuted.

Osteoporosis

A bone disease that weakens bones, increasing the risk of fractures.

Osteomyelitis

Infection of the bone, usually due to bacteria.

Gout

A type of arthritis caused by high levels of uric acid in the blood.

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Compartment Syndrome

Increased pressure within a confined muscle compartment.

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Rhabdomyolysis

Breakdown of muscle tissue.

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DVT

Deep Vein Thrombosis: Blood clot in a deep vein, usually in the leg.

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Informed Consent

Patient's agreement to a medical procedure after understanding the risks and benefits.

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Parenteral Feedings

Nutrient delivery directly into the bloodstream, bypassing the digestive tract.

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Refeeding Syndrome

Metabolic complications after starvation, when nutrition is rapidly restored.

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Atopic Dermatitis Signs

Skin condition characterized by itchy, red, and inflamed skin.

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Hypo/Hyper/Isotonic Fluids

Solutions with different concentrations of solutes compared to blood.

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Hyperkalemia Treatment

Treatment focuses on reducing potassium levels to prevent serious complications.

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Fluid Deficit Causes

Causes of fluid loss, which can result from excessive urination, vomiting, or diarrhea.

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CKD Lab Findings

Lab results that provide evidence of kidney disease progression and function.

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AKI Causes

Conditions that can lead to sudden kidney injury, including infections and medications.

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Incontinence Types

Different types of urinary/fecal incontinence characterized by the cause and symptoms

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GI bleed assessment

Assess for signs and symptoms of shock, which is an emergency and also requires immediate interventions.

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PPIs and H2 Blockers

Medications used for treating GERD that reduce acid production in the stomach.

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Peritonitis Treatments

Treatments emphasizing addressing the infection and supporting organ function.

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Study Notes

Final Road Map for FVF N343 Fall 2024

  • Bone Disorders (14 questions): Content/knowledge level questions cover fracture types, osteoporosis, osteomyelitis, and gout. Application level questions involve compartment syndrome, osteomyelitis, DVT, and rhabdomyolysis. A case study focuses on a post-operative ORIF patient with lower extremity pain and redness, requiring identification of the complication, nurse interventions before contacting the provider, and a SBAR report.

Comprehensive Content (approximately 40 questions): Multiple choice, select-all-that-apply, true/false, and matching questions are included.

Perioperative Care (5 questions): Content/knowledge level questions cover patient education (pre-op, post-op, discharge), smoking cessation, recognizing pre-op signs/symptoms, preventing post-op complications (pneumonia, DVTs), pain management techniques, appropriate medication selection based on symptoms, and informed consent procedures (surgeon visit vs surgery).

Nutrition (4 questions): Content/knowledge level questions cover nursing considerations for patients on parenteral and enteral feedings, patient safety concerns regarding nutrition, different feeding types (PPN, TPN, tube feeds), laboratory values linked to nutritional status, and signs/symptoms of low albumin levels.

Skin (4 questions): Content/knowledge level questions cover sunscreen guidelines, wound healing (including smoking's impact), the skin's general role, and recognizing atopic dermatitis.

Fluid and Electrolytes (6 questions): Content/knowledge level questions cover the differences between hypo-, hyper-, and isotonic fluids. Types of IV fluids, clinical manifestations and causes of electrolyte imbalances, and treatments for hyperkalemia.

GU (2 questions): Content/knowledge level questions cover different types of incontinence and treatment options/nursing interventions.

Additional Information: A case study requiring application of the nursing process (ADPIE) and focused on a patient with abdominal pain is also included. Questions relating to expected lab values, diagnostic studies, anticipated complications, and interventions for a patient with a likely GI problem are asked.

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