Janice Watts Year Explained for Students (Easy Guide)

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Original Question

Janice Watts, a 24-year-old female client, is admitted after a motor vehicle crash for a closed reduction of the left humerous fracture and application of a cast. The client also has a right femur fracture and the physician ordered her to be placed in buck’s traction with a 5-pound weight. The vital signs are T, 98° F; BP, 120/70 mm Hg; HR, 78 beats/ minute; RR, 20 breaths/minute. She stated the pain is relieved after the narcotic analgesic was provided 30 minutes earlier and that she is comfortable. The client had suffered a concussion as well and will remain in the hospital for the next 24 hours. The client has no known allergies. She has no previous hospitalizations and does not take any medications. The LPN/LVN will need to take care of the client after she has the cast applied in the casting room. What nursing management is needed right after a cast has been applied? What kind of precautions are important to implement for a client in traction? Four hours after the client arrived to the orthopedic floor, she complains that her arm and hand hurts more than before the cast was applied. She rates the pain 10/10 despite having pain medication 30 minutes earlier. She has numbness and tingling in her fingers. What is probably happening and what should the LPN/LVN do? Femur fractures can put the patient at risk for blood loss and embolism. What type of IV fluid would you anticipate the client to have prescribed? Why? Your client started to exhibit distal edema, shortness of breath with rhonchi at posterior lung bases, and tachypnea. What do you think is happening? What are the treatment options? Prescribed and non-prescribed? What lab values would be important to monitor with the prescribed treatment?

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