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November 4, 2010

N-Trivia

N-Trivia

Amputation

Posted: 03 Nov 2010 10:11 PM PDT


  • amputation thumb Amputation 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

  1. Refers to the removal of a body part as a result of a trauma or surgical intervention.
  2. 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

  1. Below the knee amputation (BKA)
    • Common in peripheral vascular disease.
    • Facilitates successful adaptation to prosthesis because of retained knee function.
  2. Above the knee amputation (AKA)
    • Necessitated by trauma or extensive disease.
  3. Upper extremity amputation
    • Usually necessitated by severe trauma, malignant tumors, or congenital malformation.

Assessment

  1. Neurovascular status of involved extremity.
  2. History to determine causative factors and health problems that can compromise recovery.
  3. Client's understanding of the extent of the surgery.
  4. Client's coping status.
  5. 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

  1. Provide care preoperatively by initiating exercise to strengthen muscles of extremities in preparation for crutch walking.
  2. Encourage coughing and deep breathing exercises.
  3. Monitor vital signs and stump dressing for signs of hemorrhage.
  4. Elevate stump for 12 to 24 hours to decrease edema.
  5. Maintain elastic bandage to shrink and shape stump in preparation for prosthesis.
  6. When wound is healed, wash stump daily, avoiding the use of oils which may cause maceration.
  7. Apply pressure to the end of the stump with progressively firmer surfaces to toughen stump.
  8. Encourage the client to move the stump.
  9. Place the client with a lower extremity amputation in a prone position twice daily to stretch the flexor muscles and prevent hip flexion contractures.
  10. Teach the client about phantom limb sensation.
  11. Support the client through fitting, application, and utilization of prosthesis.
  12. Encourage family to participate in care.
  13. Allow the client to express emotional reactions.

Related posts:

  1. Fracture Of The Hips
  2. ABBREVIATIONS
  3. 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.





2.    The different clients of the community health nurse include the following: 1. Individual        3. Population group 2. Family        4. Community





3.    According to Maslow's hierarchy of needs, developing one's potential is included in which of the following:





4.    Pandemic occurrence of a disease means:





5.    Mrs. Panganiban's 6 year old son is entering school for the first time. Mrs. Panganiban has a:





6.    Operation Timbang is in which level of prevention of health problem?





7.    A 3 year old boy was classified to have severe pneumonia or very severe disease. The following symptoms are present in, except:





8.    Severe dehydration is classified when TWO of the following signs are present, except:





9.    Which of the following is an advantage of a home vist?





10.    Newborn Screening act is:





11.    In the conduct of a census, the method of population assignment based on the usual place of residence of the people is termed:





12.    A 5 year old child has given Retinol capsule every 6 months to prevent xerophthalmia. What is the dose given to preschoolers?





13.    In the Philippines, which condition is the most frequent cause of death associated with schistosomiasis?





14.    Core business of public health will include the following except:





15.    Which element of FOURmula one aims to ensure quality and affordability of health services?





16.    When is Rabies awareness month celebrated?





17.    Pillars of primary health care include all of the following, except:





18.    A very important part of the community health nursing planning process includes:





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?





20.     Which herbal plant is given for fever, headache and cough?





21.    Dependency ratio is best described as:





22.    Type of water supply facility composed of a system with a piped distribution network and household taps.





23.    Which of the following is not a principle of community organizing?





24.    Which method of family panning cannot be immediately used by a breastfeeding mother?





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?







Related posts:

  1. Nursing Board Review: Community Health Nursing Practice Test
  2. Nursing Board Review: Maternal and Child Health Nursing Practice Test Part 1
  3. Nursing Board Review: Maternal and Child Health Nursing Practice Test Part 2
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