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Terms in this set (34)A client has a fractured humerus. Which dietary choice indicates that the client understands the nutrition needed to assist in healing the fracture? Students also viewedLaboratory findings include: v Increased erythrocyte sedimentation rate (ESR) v Decreased serum albumin and calcium levels v Decreased red blood cell (RBC) and platelets counts v Arterial blood gases levels may be assessed v A chest x-ray will show a diffuse snowstorm pattern. Treatment Five measures are generally used to treat fat embolism. It is treated as a medical emergency. 1. Oxygen, usually 40% by mask. In minor cases, this is all that is necessary. In severe cases, mechanical ventilation may be necessary. 2. Fluid replacement may be necessary to restore adequate volume and to flush the toxic fatty substances through the system. 3. Corticosteroids may be used to stabilize cell membranes and decrease inflammation. 4. Diuretics may be used if indicated to restore fluid to the vascular space. 5. Other drugs may be used, such as heparin and low-molecular-weight dextran, and aspirin (in males only) though their effectiveness is unclear. Nursing Diagnosis Impaired gas exchange r/t decrease oxygen caring ability of blood (decrease RBC) Nursing Interventions v Adequate ventilation may be enhanced by elevating the head of the bed, as tolerated and mobilization of lung secretions by teaching the client to turn, cough and deep breathe. v Identify and report early signs and symptoms, especially changes in behavior and level of consciousness. v Maintain oxygen delivery, monitor intake, and output, and obtain daily weights. Recommended textbook solutions
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Which action would the nurse perform for a patient in traction?RNs shall not release a patient from traction for the purpose of transfer to and from bed, stretcher, or procedure tables. The nurse shall notify the physician, so the physician may come and remove traction for transfer and to replace traction. 5. RNs shall provide pin care per physician order.
Which nursing intervention is a priority for the patient in traction to ensure the therapy is effective?The priority nursing intervention before the patient goes into skin traction is to ensure that the patient assessment is completed because the nurse relies on baseline data collected before the procedure to compare with postprocedure neurovascular and skin assessments.
How should the nurse position the weights for a client in skin traction?The weights must be suspended and not in contact with the bed or resting on the floor. The patient's body should always be in alignment with the force of traction.
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