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Bone/ muscle nclex
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Gravity
Terms in this set (11)
Crutch gates: two point gate: use with partial weight-bearing limitations and with bilateral lower extremity prosthesis: the crutch on the affected side and the unaffected foot are advanced at the same time
THREE POINT GAIT: use for partial weight-bearing or no weight-bearing on the affected leg; requires that the client have strength and balance. Both crutches in the foot of the affected extremity or danced together, followed by the foot of the unaffected extremity
Four point game: use it weight-bearing is allowed and 1 foot can be place in front of the other. The right crutch is advanced, then the left foot, then the left crutch, and then the right foot
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Swing to gate: is when there is adequate muscle power and balance in arms and legs. Both crutches are advanced together, then both legs are lifted and placed down on a spot behind the crutches. The feet and crutches form a tripod
Swing through okay: use when there is adequate muscle power and balance in arms and legs. Both crutches are advanced together, then both legs are lifted through and beyond the crutches and place down at a point in front of the crutches
When using cane and Walker: stand at the affected side of the clients when ambulating; use of gate or transfer belt maybe necessary. The handle should be at the level of the clients greater trochanter
The client elbow should be flexed at 15 to 30° angle. Instructed client to hold the cane 4 to 6 inches to the side of the foot. Client is to hold the cane in the hand on the unaffected side so that the cane and weaker leg can work together with each step.
Instructed client to move the cane at the same time as the affected leg. Instruct client to inspect rubber tips regularly for one pieces
Hemicanes and quad canes: position the cane at the clients unaffected side, with the street, not angled side adjacent to the body, position the cane 6 inches from the unaffected clients site, with the handgrip level with the greater trochanter
Walker: stand adjacent to the client on the affected side. Instruct the client to put all four points of the Walker flat on the floor before putting weight on the handpieces. Instruct client to move walker forward, followed by affected or weaker foot and then I'm affected foot
Doubt: provide a low. Diet as prescribed, avoiding foods such as organ meats, wine, and aged cheese. Avoid alcohol and starvation diets because they may precipitate a gout attack. Increased urine pH above six by eating alkaline ash food
Crutches are measured so that the tops are 2 to 3 finger widths from the axillae. This ensures that the clients axillae are not resting on the crutch or bearing the weight on the crutch, which could result in injury to the nerves of the brachioplexus
One walking with crutches, both elbows need to be flexed not more than 30° when the palms are on the handle
Altered mental state is an early indication of fact emboli
The earliest symptom of compartment syndrome is Paresthesia. Other symptoms are pain unrelieved by opioids, pain that increases with limb elevation, and pallor and coolness to the distal limb. Cyanosis is a late sign
A normal uric acid level ranges from 2.5 to 8
Bucks, extension, traction is a type of skin traction often apply after hip fracture before the fracture is reduced in surgery. Traction reduces muscle spasms and helps immobilize the fracture. Traction does not allow for bony healing to begin or provide rigid immobilization
When taking allopurinol, drink 3000 mL of fluid a day. Full therapeutic effect may take one week or longer
Colchicine is used with caution in older clients, debilitated clients, and clients with cardiac kidney or G.I. disease
IV methocarbamol, Robaxin, can cause hypotension and bradycardia
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