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REMAR V2- #6 (Orthopedics) Questions & Answers Already Graded A+, Exams of Advanced Education

Canes • The cane moves with the bad leg, then the good leg follows When handling a cast during the first 24 hours what part of our hand should we use? Palm

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2024/2025

Available from 07/06/2025

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REMAR V2- #6 (Orthopedics)
Canes
The cane moves with the bad leg, then the good leg follows
When handling a cast during the first 24 hours what part of our hand should we
use?
Palm
Cast Handling:
Use palms of our hands to handle during the first 24 hours
Do not use finger tips Indentation marks may cause skin ulcers
Do not get the cast wet
How do you relieve itching underneath a cast?
Use a blow dryer on a cool setting
Always remember to do neurovascular checks on your client that has a cast on
Compartment Syndrome
Acute condition: injury caused when tissues such as blood vessels and nerves are
constricted within a space due to swelling or tight dressing/cast
Assess for the 6 P's:
Pain
Pallor paleness
Paresthesia loss of sensation
pf3
pf4
pf5

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REMAR V2- #6 (Orthopedics)

Canes

  • The cane moves with the bad leg , then the good leg follows

When handling a cast during the first 24 hours what part of our hand should we

use?

Palm

Cast Handling:

  • Use palms of our hands to handle during the first 24 hours
  • Do not use finger tips – Indentation marks may cause skin ulcers
  • Do not get the cast wet

How do you relieve itching underneath a cast?

  • Use a blow dryer on a cool setting
  • Always remember to do neurovascular checks on your client that has a cast on

Compartment Syndrome

  • Acute condition: injury caused when tissues such as blood vessels and nerves are constricted within a space due to swelling or tight dressing/cast

Assess for the 6 P's:

  • Pain
  • Pallor – paleness
  • Paresthesia – loss of sensation
  • Pulselessness – lack of pulse via palpation/auscultation o Check distal pulses where the cast is located
  • Paralysis – temporary/permanent loss of motor control
  • Poikilothermia – affected limb cooler than unaffected limb

Nursing Interventions for Compartment Syndrome:

  • Cast or restricted bandages must be removed immediately
  • Perform neurovascular checks (6 P’s)
  • Keep extremity AT HEART LEVEL (not below)

Fasciotomy

  • A surgical incision through the fascia to relieve tension/pressure

Why is urine input important to monitor with compartment syndrome?

  • Damaged muscle cells will be excreted in the urine (protein in the urine)

Rhabdomyolysis

  • Breakdown of skeletal muscle due to injury
  • Can lead to kidney damage if not treated

Crutches

  • Assist weak/injured patients with walking
  • Top of crutches : 2 inches below armpits
  • Handgrips : even with the hips

Gaits (walking styles with crutches):

Clients are NOT allowed to:

  • Cross their legs
  • Sit for long periods
  • Put pillows behind the knees

Traction

  • Pull to muscles to realign fractured/dislocated bones

Skin Traction

  • Force applied to skin
  • Types: Buck’s, Russell’s, Bryant’s (for children <4)
  • Indications : o Femoral fractures o Hip dislocation o Lower back pain
  • Time limit : 4–6 weeks

Skeletal Traction

  • Pull applied directly to bone via pins/wires
  • Indications : o Fractures of the hand o Fractures of the femur

Practice Questions

Q: A client was hit by a motor vehicle 12 hours ago and is being discharged with a Plaster of Paris cast of the right leg. Which statement needs follow-up teaching? "I will use the palms of my hands to handle the cast for the next 8 hours." Correct answer: Don’t handle the cast for only 8 hours—it's for the full first 24 hours

Q: A nurse is caring for a client in skeletal traction. What is an expected finding? Serous drainage at the pin site (Normal during wound healing) Q: A nurse is caring for a client with signs of acute compartment syndrome. The client is reporting numbness and tingling in the left extremity. What is a priority action of the RN? Assess pedal pulses (Another sign of acute compartment syndrome)