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AB Critical Thinking Exercises

This document appears to be a set of critical thinking exercises completed by a nursing student named Ahmed BaElaian from the University of Luzon College of Nursing and Midwifery in Dagupan City. The exercises cover topics like differentiating common sports injuries, emergency management of fractures and dislocations, postoperative care following different types of hip replacements, and preventing blood clots in an elderly patient after hip surgery. The student provides assessments, interventions, and rationales for each scenario.

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Ahmad Baolayyan
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113 views

AB Critical Thinking Exercises

This document appears to be a set of critical thinking exercises completed by a nursing student named Ahmed BaElaian from the University of Luzon College of Nursing and Midwifery in Dagupan City. The exercises cover topics like differentiating common sports injuries, emergency management of fractures and dislocations, postoperative care following different types of hip replacements, and preventing blood clots in an elderly patient after hip surgery. The student provides assessments, interventions, and rationales for each scenario.

Uploaded by

Ahmad Baolayyan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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University of Luzon

COLLEGE OF NURSING AND MIDWIFERY


Dagupan City

Name: BaElaian, Ahmed


Course: BSN-III
Critical Thinking Exercises
1. The Nursing Department is participating in a women's Basketball League and asks you
to help out with first aid on the Court. Common injuries you would expect include
sprains, strains, and, possibly, dislocations and fractures.
-What specific assessment would you make to differentiate these problems?

The nurse will assess for the following


 severe pain when the injured part is touched or moved
 continued trouble bearing weight
 more bruising
 numbness or a feeling of "pins and needles" in the injured area
 a limb that looks "bent" or misshapen
 signs of infection (increased warmth, redness, streaks, swelling, and pain)

-Discuss the emergency management for each of these problems.


Fracture:

 Stop any bleeding: by elevate and apply pressure to the wound using a sterile bandage,
a clean cloth, or a clean piece of clothing.
 Immobilize the injured area by using a splint or sling.
 Apply cold to the area: by Wrap an ice pack or bag of ice cubes in a piece of cloth and
apply it to the injured area for up to 10 minutes at a time
 Treat them for shock by Help them get into a comfortable position, encourage them to
rest, and reassure them. Cover them with a blanket or clothing to keep them warm.
 Get professional help:
Dislocations:

 Don't delay medical care.


 Don't move the joint.
 Put ice on the injured joint.

Sprains and Strains: by PRICE management which is:

 Protection
 rest
 ice,  
 compression, 
 elevation. 
- Explain your rationale for these emergency interventions.
Fracture:
Stop any bleeding: to prevent blood lose and also prevent infection.
Immobilize the injured area
Apply cold to the area: to reduce the swelling
Treat them for shock: so, the pt. will not inter shock and panic and others situation
University of Luzon
COLLEGE OF NURSING AND MIDWIFERY
Dagupan City

Get professional help: you call 911, If the person doesn’t appear to be breathing, is
unconscious, or both, also begin CPR. You should also call 911 if you suspect they’ve broken a
bone in their head, neck, or back the fractured bone has pushed through their skin, they’re
bleeding heavily.
Dislocations:
Don't delay medical care. To Get medical help immediately.
Don't move the joint. To prevent damage the joint and its surrounding muscles, ligaments,
nerves or blood vessels.
Put ice on the injured joint. To help reduce swelling by controlling internal bleeding and the
buildup of fluids in and around the injured joint.
Sprains and Strains:

Protection: to protect against further injury


Rest: for fast healing
Ice and compression: to prevent the swellings
Elevation. Try to elevated to heart level to prevent muscle atrophy and cramping.
2. A 46-year-old man experiences an open fracture of his right ankle while Rollerblading.
The orthopedic surgeon recommends surgery and external fixation. The patient asks why
surgery is needed a lot of his friends have broken their ankles, have not had surgery, and
have just had a cast put on for a couple of weeks.
What would you include in your discussion of the need for surgery and external fixation?
Discuss about Open Reduction and External Fixation refers to techniques that use surgical
hardware to stabilize a fracture from the outside of the skin. Your surgeon will make an incision
and place your bones in the proper position for healing, then secure the bones with surgical pins
that are placed through the outside of the skin.
-Describe the anticipated postoperative care, monitoring to prevent complications, and
activity restrictions.
Anticipated postoperative care, monitoring to prevent complications and activity restriction is
take pain medications and antibiotics as prescribe, teach the client about the use of assistive
device such as crutches, advise the client not to walk with force, observe for signs and
symptoms of infections and keep the patient’s incision clean.
3. You are working in the emergency department of a Primary hospital. Early this
afternoon, an elderly patient who had fallen and broken her right forearm was treated
with closed reduction and casting. She was sent home and was told she could call the
emergency department if she had any questions or concerns. She has been home for
about 7 hours and is calling because she is experiencing extreme pain in her hand and
does not know what to do.
-What information do you need to assess this situation?
You may have some pain the first few days after getting a cast. Using an ice pack can help also
Check with if she taking over-the-counter medicines for pain but Not take more pain killer than
the dosage recommended by the provider, and teach her about relaxation and deep breathing
technique.
-What potential problems might she be experiencing?
She has a normal pain after using a cast and she feel scared or anxiety from it.
University of Luzon
COLLEGE OF NURSING AND MIDWIFERY
Dagupan City

What advice would you give?


1) Maintain immobilization of affected part by means of bed rest, cast, splint, traction.
2) Avoid use of plastic sheets and pillows under limbs in cast.
3) Provide emotional support and encourage the use of stress management techniques
(progressive relaxation, deep-breathing exercises, visualization or guided imagery);
provide Therapeutic Touch.
4) Administer medications as prescribe by physician: Narcotic and nonnarcotic analgesics,
NSAIDs, Muscle relaxants
-What is the rationale for this advice?
1) To Relieves pain and prevents bone displacement and extension of tissue injury.
2) Can increase discomfort by enhancing heat production in the drying cast.
3) Refocuses attention, promotes a sense of control, and may enhance coping abilities in
the management of the stress of traumatic injury and pain, which is likely to persist for
an extended period.
4) Given to reduce bone pain or muscle spasms.
4. You are providing postoperative care to two patients who had elective hip
replacements. The 67-year-old patient had a cemented prosthesis. The 52-year-old
patient had a press-fit prosthesis.
-Compare and contrast the plans of care for these two patients.

 Patients may be advised to avoid full weight-bearing on cementless components during


the first 4 to 12 weeks after surgery
 Patients may be told to begin putting full body weight on the new joints just a day or two
after surgery.
 Both cemented and cementless prostheses cause a foreign-body-type host response.
 Placing the cementless prosthesis is more technically demanding than placing the
cemented prosthesis because it is more difficult to compensate interpositionally an
abnormal bony anatomy without cement
How would they be similar?
They are same cemented prosthesis because the 67-year-old patient had a cemented
prosthesis and the 52-year-old patient had a press- fit prosthesis, and the cementless
prosthesis, sometimes called a press-fit prosthesis.
How would they be different?

 Cemented prosthesis uses fast-drying bone cement to help affix it to the bone.
 Press-fit prosthesis, is specially textured to allow the bone to grow onto it and adhere to
it over time.
5. An 84-year-old woman had an internal fixation for her fractured hip. She complains
that her elastic stockings feel tight and hot and asks you to remove them.
-How would you respond to this request?
Advice the patient not to remove the elastic stocking, because it is important after surgery of hip
fracture to have a skin traction in order to keep the blood circulating.
-What is the rationale for your action?

To keep the blood circulating and to help prevent blood clots


University of Luzon
COLLEGE OF NURSING AND MIDWIFERY
Dagupan City

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