stages of fracture healing? Learning Activities Each week your lab guide will cover questions related to the case study and the clinical skills you will be learning. Please work your way through this lab guide BEFORE attending your laboratory, also: • Watch the audiovisual patient vignette available under Subject Documents?Labs 1-10?Relevant Lab folder on UTSOnline; • Access the audiovisual patient handover available under Subject Documents?Labs 1-10?Relevant Lab folder on UTSOnline and abbreviate it into the ISBAR table provided in your charts and checklist booklet; • If provided (not all skills are available yet) access the Tollefson Clinical skill audiovisual in Subject Documents?Labs 1-10?Relevant Lab folder on UTSOnline; • Read the patient’s progress notes and look up any unfamiliar terminology and abbreviations. Orthopaedic Nursing 1. Charlene has presented with an open tibia and fibula fracture. Define the following terms: • A stable fracture: • An unstable fracture: • An open fracture: 2. What are the seven stages of fracture healing? 3. What are the overall goals of fracture treatment? 4. Explain the difference between an open and closed reduction? 5. What are some of the complications associated with reduced mobility due to a fracture, and how can the nurse plan to overcome these? 6. Define the following terms explaining why Charlene is at increased risk of them? • Compartment syndrome – • Fat embolism syndrome – • Venous thrombosis – 7. How often should the neurovascular status of Charlene’s leg be assessed during the first 48 hours after surgery? Wound dressing, swabbing and drains 8. When swabbing a wound would you or would you not clean the wound first, and why? 9. List and discuss two (2) types of drains used in wound management. 10. Why is it important for the nurse to assess the drain to ensure that it is working properly? 11. Discuss the procedure of shortening and removing drains. Remember to reference appropriately. 12. Explain which gloves you would use when removing a drain. Administration of an IV antibiotic 13. What are some of the advantages of delivering medication via the IV route? 14. Why are IV administration drugs considered to be more hazardous when compared to other routes? 15. You have just completed reconstituting an IV antibiotic and experience difficulty in drawing the medication back into the syringe. What is the cause of this problem? 16. If you are giving 1g of ceftriaxone as an IV infusion, over how long would you administer it? Human Immunodeficiency Virus (HIV) 17. How is HIV transmitted? 18. What is the risk of contracting HIV from a needle-stick puncture? 19. At what point does HIV become diagnosable? 20. How could Charlene reduce the risk of contracting HIV through drug use in the future? LABORATORY 7 Activities in the laboratory this week will focus on: Infection control, barrier nursing and administering intramuscular injections. Objectives By completion of this laboratory session you will: • Have an understanding of the nursing care of a patient who has cancer; • Identify some common infectious diseases that require patient isolation; • Understand cytotoxic precautions; • Demonstrate how to select, don and remove appropriate PPE to enter an infectious room; • Demonstrate how to safely administer an intramuscular injection.
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