Global Rationale Cognitive Level Analyzing Client Need Physiological Integrity

Global rationale cognitive level analyzing client

This preview shows page 5 - 8 out of 28 pages.

Global Rationale: Cognitive Level: Analyzing Client Need: Physiological Integrity Client Need Sub: Physiological Adaptation Nursing/Integrated Concepts: Nursing Process: Assessment
Image of page 5
Learning Outcome: 50-4 Question 7Type: MCSAA patient wearing a long leg cast has assessment findings of compartment syndrome in the extremity. The nurse demonstrates understanding of the complication and its specific treatment by gathering which equipment? 1. Pillows to elevate the leg2. A percussion hammer3. Buck’s traction equipment4. Ace bandagesCorrect Answer: Rationale 1: Elevating the leg above the heart would compromise circulation.Rationale 2: At this point the diagnosis has been made; further assessment is not indicated and would waste time.Rationale 3: Buck’s traction is not a priority in the current care of this patient.Rationale 4: Compartment syndrome occurs when excess pressure in a limited space constricts the structures within a compartment, reducing circulation to muscles and nerves. With increased edema, this event threatens the viability of the limb and increases the risk of sepsis. Treatment can include removing the cast entirely or bivalving it (splitting it apart with a cast cutter) and securing the two sides with Ace wraps, tape, or Velcro straps. 4 Global Rationale: Cognitive Level: Analyzing Client Need: Physiological Integrity Client Need Sub: Physiological Adaptation Nursing/Integrated Concepts: Nursing Process: Planning Learning Outcome: 50-4 Question 8Type: MCSAA committee of musculoskeletal care nurses has been meeting to formulate policy changes regarding the proper method for providing pin site care. Based on current research findings, the nurses come to which conclusion?
Image of page 6
3 Global Rationale: Cognitive Level: Applying Client Need: Physiological Integrity Client Need Sub: Reduction of Risk Potential Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: 50-4
Image of page 7
Image of page 8

You've reached the end of your free preview.

Want to read all 28 pages?

  • Winter '14
  • Nursing, Orthopedic surgery, Global Rationale, Bone fracture, callus, Compartment syndrome

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture