Get Answer: Terry Cook Year Question Guide

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Original Question

1. Terry Cook is a 43-year-old female that was brought to the emergency department via ambulance for right lower extremity (RLE) pain. There is an obvious deformity, edema, and sluggish capillary refill of the RLE. The patient reports that her pain is a ten on the 0-10 pain scale. She reports that she was thrown from her horse this morning. The RLE is elevated on a pillow, and an ice pack was placed on the area of deformity. The x-ray shows a right tibia/fibula fracture. Questions to promote clinical judgment. Students should answer these questions on a blank sheet of paper or on the back of the Direct Patient are Documentation: Laboratory: a. What information is relevant and must be recognized as clinically significant by the nurse? b. What is the underlying cause/pathophysiology? c. What body systems will you most thoroughly assess? d. What are two priority-nursing diagnoses? e. What is the patient likely feeling right now? Below are the physician’s orders: • Bed rest • Elevate RLE • Ice to RLE 20 minutes on 20 minutes off prn pain • Neurovascular assessment (circulation, pulses, sensation, mobility, skin temperature) to RLE every 4 hours and prn • Vital sign every shift and prn • Vicodin 5mg/300mg 1-2 tablets every four hours as needed for pain • Consult orthopedic surgeons

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