nursing Scenario D M., a 25-year-old man, hops He states that he was note swelli
ID: 246026 • Letter: N
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nursing
Scenario D M., a 25-year-old man, hops He states that he was note swelling pulses He states he has had no p y department (ED) with complaints of right ankle pain. stepped on another player's foot, inverting his ankle. You area of the fourth and fifth metatarsals, and pedal playing basketball and over the lateral malleolus down to the area cof are 3+ bilaterally. His vital signs (VS) are 124/76, 82, 18. He has no allergies and takes no medication 18 rior surgeries 1. In assessing D.M.'s s injured ankle, what should be evaluated? or medical problems 2. What will initial management of the ankle involve to prevent further swelling a and injury? 3. You note significant swelling over the fourth and fifth metatarsals. How would you evaluate this finding? further X-ray results are negative for fracture, and a second-degree sprain is diagnosed. The physician is diagnosed. The physician orders immobilization with an elastic bandage and an air stirrup brace, with instructions instructs D.M. not for crutches. The physician ntil to bear weight on his ankle for 2 days, then to use only partial weight bearing u the ankle heals 4. Describe the technique for applying an elastic wrap. Give the rationale. 5. When instructing D.M. to use crutches, D.M. states that he "likes it better" when the crutches rest under his arms while he walks with the crutches. Is this correct? Explain. 6. You instruct D.M. on using the three-point gait with the crutches. Which would be the correct first step for the three-point gait? a. Step first with the affected leg b. Step first with the unaffected leg. c. Step first with both crutches and the affected leg. Step first with the affected leg and the crutch opposite of the affected leg 7. You are to instruct D.M. on application of cold, activity, and care of the ankle. What would be appropriate instructions in these areas?Explanation / Answer
1) Ankle is common site of swelling because of gravity's effect on the fluids in the human body. Any kind of injury can cause fluid retention and swelling in affected area.
2) a.First of all to reduce swelling, ankle should be elevated, so that excess fluid is not allowed to collect around injury.
b. Apply pressure to an injured ankle to reduce injury by restricting the flow of blood and other fluids.
c. Apply cold to an injury to reduce swelling.
4) a)Hol the loose end of bandage in place with one hand, with other hand wrap bandage in circle twice around foot.
b) continue to wrap bandage in spiral pattern. Fasten the end of bandage . Do not use metal clips where your skin folds.
6) First step of using three point gait is step first with both crutches and affected leg.
8) Lortab is brand name for painkiller combining hydrocodone (a narcotic) and acetaminophen.
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