Description
Fracture of tibia ORIF
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N121 and N210 Simulation
MARILYN HUGHES PREPWORK
Textbook:
Neil, J. A. (2020). Preoperative care. In Harding, M. M., Kwong, J., Roberts, D., Hagler, D., & Reinisch,
C. (Eds.), Lewis’s medical-surgical nursing: Assessment and management of clinical problems (11th
ed., pp. 299-312). St. Louis, MO: Elsevier.
Price, M. C. (2020). Musculoskeletal trauma and orthopedic surgery. In Harding, M. M., Kwong, J.,
Roberts, D., Hagler, D., & Reinisch, C. (Eds.), Lewis’s medical-surgical nursing: Assessment and
management of clinical problems (11th ed., pp. 1444-1477). St. Louis, MO: Elsevier.
Rudolphi, D. M. (2020). Postoperative care. In Harding, M. M., Kwong, J., Roberts, D., Hagler, D., &
Reinisch, C. (Eds.), Lewis’s medical-surgical nursing: Assessment and management of clinical
problems (11th ed., pp. 328-347). St. Louis, MO: Elsevier.
PREP QUESTIONS:
1. Define the overall goal of a preoperative assessment and list at least 4 goals of the assessment.
Define OVERALL goal:
GOALS OF PREOPERATIVE ASSESSMENT
1.
2.
3.
4.
2. Discuss the benefits of preoperative teaching and define the three types of information with examples.
Benefits:
TYPE OF INFORMATION
DEFINITION
EXAMPLES
1.
2.
3.
3. Discuss at least four respiratory complications that can occur in the postoperative phase and identify at least
three nursing interventions utilized to address each of the complications.
RESPIRATORY COMPLICATION
NURSING INTERVENTIONS
1.
1.
2.
3.
2.
1.
2.
3.
3.
1.
2.
3.
4.
1.
2.
3.
4. Define the procedure often referred to as an “ORIF.” Be specific in your explanation with reference to each
letter in the acronym.
5. Discuss at least three expected nursing care interventions for a patient undergoing an “ORIF” related to a
fracture of the tibia/fibula (Beginning on the day of surgery through the first three postoperative days).
NURSING CARE INTERVENTIONS
Day of Surgery
1.
2.
3.
Postoperative Day 1
1.
2.
3.
Postoperative Day 2
1.
2.
3.
Postoperative Day 3
1.
2.
3.
6. Describe at least four manifestations of a fracture and identify the significance of each manifestation.
MANIFESTATION OF FRACTURE
1.
2.
3.
4.
SIGNIFICANCE OF MANIFESTATION
7. List at least five complications associated with a fracture and identify those which may be life threatening
and/or those that may be associated with possible loss of limb.
COMPLICATION
LIFE THREATENING/POSSIBLE LOSS OF
LIMB
1.
2.
3.
4.
5.
8. List the six “P’s” of a neurovascular assessment for a patient with an orthopedic injury and describe how to
properly assess for each “P”.
SIX “P’s”/NEUROVASCULAR ASSESSMENT
1.
2.
3.
4.
5.
6.
ASSESSMENT TECHNIQUE
9. IDENTIFY the NORMAL and the ABNROMAL assessment findings for each of the six “P’s”.
Normal Assessment Findings of six “P’s”
Abnormal Assessment findings of six “P’s”
1.
2.
3.
4.
5.
6.
10. Describe why an emergency fasciotomy would be performed on a patient? Discuss how long the recovery
phase is following this procedure?
Med Card List – 121/210 Marilyn Hughes
Medication
Cefazolin
Morphine
Ondansetron
Acetaminophen
Drug Class/
Therapeutic Effect
Mechanism of Action
Side Effects
Nursing Considerations
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