“Amputation” plus 1 more nursing article(s): NursingCrib.com Updates

---

Amputation Posted: 03 Nov 2010 10:11 PM PDT Is the total or partial surgical removal of an extremity or digit. It is done in cases of inadequate tissue perfusion not responsive to other treatments, such as with diabetes mellitus or other peripheral vascular diseases. The extent of amputation is based on the level of maximal viable tissue available for wound healing. Etiology and Pathophysiology Refers to the removal of a body part as a result of a trauma or surgical intervention. Necessitated by: malignant tumor, trauma, and acute arterial insufficiency. Signs and Symptoms Subjective Pain Limited motion Malaise Objective Local swelling Weight loss Anemia Elevated serum alkaline phosphatase Fever Surgical Interventions Below the knee amputation (BKA) Common in peripheral vascular disease. Facilitates successful adaptation to prosthesis because of retained knee function. Above the knee amputation (AKA) Necessitated by trauma or extensive disease. Upper extremity amputation Usually necessitated by severe trauma, malignant tumors, or congenital malformation. Assessment Neurovascular status of involved extremity. History to determine causative factors and health problems that can compromise recovery. Client's understanding of the extent of the surgery. Client's coping status. Client's support system. Nursing Diagnosis Body image disturbance Constipation Diversional activity deficit Fear Risk for injury Impaired physical mobility Self-care deficit Risk for skin integrity Situation low self-esteem Nursing Interventions Provide care preoperatively by initiating exercise to strengthen muscles of extremities in preparation for crutch walking. Encourage coughing and deep breathing exercises. Monitor vital signs and stump dressing for signs of hemorrhage. Elevate stump for 12 to 24 hours to decrease edema. Maintain elastic bandage to shrink and shape stump in preparation for prosthesis. When wound is healed, wash stump daily, avoiding the use of oils which may cause maceration. Apply pressure to the end of the stump with progressively firmer surfaces to toughen stump. Encourage the client to move the stump. Place the client with a lower extremity amputation in a prone position twice daily to stretch the flexor muscles and prevent hip flexion contractures. Teach the client about phantom limb sensation. Support the client through fitting, application, and utilization of prosthesis. Encourage family to participate in care. Allow the client to express emotional reactions. Related posts: Fracture Of The Hips ABBREVIATIONS Hypovolemic Shock

Community Health Nursing Practice Test Part 1 Posted: 03 Nov 2010 09:45 PM PDT December 2010 Nursing Board Exam Practice Test on Community Health Nursing. Mark the letter of your choice then click on the next button. Your score will be posted as soon as the you are done with the quiz. We will be posting more of this soon. If you want a simulated Nursing Board Exam, get a copy of our Nursing Board Exam Reviewer v1.0 and v2 now. 1.    He defined public health as the science and art of preventing disease, prolonging life, promoting health and efficiency through organized community effort. a. Winslow b. Nightingale c. Rosenstock d. Maslow 2.    The different clients of the community health nurse include the following: 1. Individual        3. Population group 2. Family        4. Community a. 1 and 2 only b. 1, 3, 4 only c. 1, 2, 4 only d. 1, 2, 3, 4 3.    According to Maslow's hierarchy of needs, developing one's potential is included in which of the following: a. Physiologic b. Safety and Security c. Love and Belonging d. Self-actualization 4.    Pandemic occurrence of a disease means: a. The intermittent occurrence of a few isolated and unrelated cases in a given locality. b. The simultaneous occurrence of epidemic of the same disease in several countries. c. The unusually large number of cases in a relatively short period of time. d. The continuous occurrence throughout a period of time of the usual number of cases in a given locality. 5.    Mrs. Panganiban's 6 year old son is entering school for the first time. Mrs. Panganiban has a: a. Stress point b. Foreseeable crisis c. Health deficit d. Health threat 6.    Operation Timbang is in which level of prevention of health problem? a. Primary b. Secondary c. Tertiary d. Intermediate 7.    A 3 year old boy was classified to have severe pneumonia or very severe disease. The following symptoms are present in, except: a. Convulsions b. Chest indrawing c. Stridor d. Fast breathing 8.    Severe dehydration is classified when TWO of the following signs are present, except: a. Drinks eagerly, thirsty b. Sunken eyes c. Skin pinch goes back very slowly d. Abnormally sleepy or difficult to awaken 9.    Which of the following is an advantage of a home vist? a. It allows the nurse to provide nursing care to a greater number of people. b. It allows sharing of experiences among people with similar health problems. c. It provides an opportunity to do first hand appraisal of the home situation. d. It develops a family's imitative in providing for health needs of its members. 10.    Newborn Screening act is: a. R.A 8980 b. R.A 7610 c. R.A 7305 d. R.A 9288 11.    In the conduct of a census, the method of population assignment based on the usual place of residence of the people is termed: a. De jure b. De facto c. De locus d. De novo 12.    A 5 year old child has given Retinol capsule every 6 months to prevent xerophthalmia. What is the dose given to preschoolers? a. 15,000 IU b. 20,000 IU c. 50,000 IU d. 100,000 IU 13.    In the Philippines, which condition is the most frequent cause of death associated with schistosomiasis? a. Bladder cancer b. Intestinal perforation c. Liver cirrhosis d. Liver cancer 14.    Core business of public health will include the following except: a. Disease control b. Health protection c. Health public policy d. None of the above 15.    Which element of FOURmula one aims to ensure quality and affordability of health services? a. Health financing b. Health regulation c. Health service delivery d. Good governance 16.    When is Rabies awareness month celebrated? a. January b. March c. May d. June 17.    Pillars of primary health care include all of the following, except: a. Active community participation b. Provision of medical care and emergency treatment c. Support mechanism made available d. Use of appropriate technology 18.    A very important part of the community health nursing planning process includes: a. Evaluation of structures and qualifications of health care team b. The application of professional judgment in estimating importance of facts to family and community. c. Carrying out nursing procedures as per plan of action. d. Coordination with other sectors in relation to health concerns. 19.    Mrs. Larazabal brought her 2 month old baby to the health center for immunization. On assessment, the infant's temperature registered 38 0C. Which is the best action that you will take? a. Give paracetamol and wait for his fever to subside. b. Refer the infant to the physician for further evaluation. c. Proceed with the infant's immunization. d. Tell the mother to bring her baby back at the health center when her baby is feeling well. 20.     Which herbal plant is given for fever, headache and cough? a. Sambong b. Tsaang gubat c. Akapulko d. Lagundi 21.    Dependency ratio is best described as: a. Compares the number of economically dependent with the economically productive group in population. b. Graphical representation of the age-sex composition of the population. c. Compares the number of males to the number of females in the population. d. Illustrates the proportion of the people living in urban compared to the rural areas. 22.    Type of water supply facility composed of a system with a piped distribution network and household taps. a. Level I b. Level II c. Level III d. Level IV 23.    Which of the following is not a principle of community organizing? a. Principle of Leadership b. Principle of Evaluation c. Principle of Structure d. Principle of Attainment 24.    Which method of family panning cannot be immediately used by a breastfeeding mother? a. LAM b. BTL c. Combined OCP d. Condom 25.     If there were 250 deaths and 36,114 live births registered in Region III, with a total population of 200,000, the fetal death rate would be? a. 6.9 per 1000 live births b. 7.8 per 1000 live births c. 0.16 per 1000 live births d. 0.0014 per 1000 live births Related posts: Nursing Board Review: Community Health Nursing Practice Test Nursing Board Review: Maternal and Child Health Nursing Practice Test Part 1 Nursing Board Review: Maternal and Child Health Nursing Practice Test Part 2

You are subscribed to email updates from Nursing Crib To stop receiving these emails, you may unsubscribe now.	Email delivery powered by Google
Google Inc., 20 West Kinzie, Chicago IL USA 60610