Work Book Fractures When caring for a resident who has a cast, “elevate” the extremity that is in a cast to help stop swelling. Keep the cast “dry and clean” at all times. A bone must be “immobilized” to allow the fusion of fractured parts. Signs and symptoms of a fracture include “swelling. ” Fractures are broken bones and may be caused by “osteoporosis. ” You can place a wet cast on “Pillows” so that its shape is not altered as it dries. When can a resident insert something inside the cast? Never” Hip Fractures T Most fractured hips require surgery. F You should perform ROM exercises for a leg on the side of a hip replacement when you see that the resident is in pain. F A hip fracture is not really a serious injury. T Elderly people heal slowly. F Nursing assistants may disconnect traction assembly if the resident requests it. T A resident recovering from a hip replacement should not site with his or her legs crossed. The hip cannot be bent more than 90 degrees.
F Dress a resident recovering from a hip replacement starting with the unaffected, or stronger, side first. T A red or warm incision after hip replacement surgery must be reported to the nurse. What is the main reason that hip fractures are more common in the elderly? Bones weaken as people age Which side should residents recovering from hip replacements dress first? Affected side What does “PWB” stand for? Partial weight bearing If you see “NWB” on a resident’s care plan, the resident” Is unable to support any weight on one or both legs
Knee Replacement T A knee replacement may be done to relieve pain or restore motion to the knee. F The recovery time for a knee replacement is longer than for a hip replacement. T Compression stockings are applied to the legs and hooked to a machine that inflates and deflates to act as the muscles normally would. T Ankle pumps are simple exercises to promote circulation to the legs. F Fluid intake should be restricted after a knee replacement.