A patient who arrives at the emergency department experiencing ...

[londonang]

A patient who arrives at the emergency department experiencing severe left knee pain is diagnosed with a patellar dislocation. The initial patient teaching by the nurse will focus on the need for
 
  a. a knee immobilizer.
  b. gentle knee flexion.
  c. monitored anesthesia care.
  d. physical activity restrictions.

Question 2

A young man arrives in the emergency department with ankle swelling and severe pain after twisting his ankle playing basketball. Which of these prescribed collaborative interventions will the nurse implement first?
 
  a. Take the patient to have x-rays.
  b. Wrap the ankle and apply an ice pack.
  c. Administer naproxen (Naprosyn) 500 mg PO.
  d. Give acetaminophen with codeine (Tylenol 3).

[covalentbond]

Answer to Question 1

ANS: C
The first goal of collaborative management is realignment of the knee to its original anatomic position, which will require anesthesia or monitored anesthesia care (MAC), formerly called conscious sedation. Immobilization, gentle range-of-motion (ROM) exercises, and discussion about activity restrictions will be implemented after the knee is realigned.

Answer to Question 2

ANS: B
Immediate care after a sprain or strain injury includes the application of cold and compression to the injury to minimize swelling. The other actions should be taken after the ankle is wrapped with a compression bandage and ice is applied.

[londonang]

Excellent

[kthug]

TYSM