= Critical Thinking, Clinical Reasoning, and Clin… Q
Scenario one
Pearl, an 89-year-old grandmother, is admitted with a fractured ankle. She has surgery, and a cast is applied. The cast goes from her toes to the knee. Her toes are visible, and she can wiggle them freely. A small window was cut in the cast over the dorsalis pedis pulse. Routine hospital protocols state that anyone with a cast must have neurovascular checks every 2 hours. You have a standard tool to follow for neurovascular checks, but you also want to remember assessment parameters for a classroom test you’re going to take.
a. Use the following memory jog to remember the things you need to check when performing a neurovascular assessment:
Maggie C hewed Nuts E very P lace She Went, which stands for this :
Movement, Color, Numbness, Edema, Pulses, Sensation, Warmth
b. Based on the preceding memory jog, how would you assess the neurovascular status of Pearl’s injured leg? c. Why is it necessary to monitor each of the assessment parameters listed in the memory jog to determine neurovascular status? d. What would you do if Pearl told you her toes felt numb and cold?
P
Scenario two
You have to give Mr. Wu digoxin by mouth. You know that using the following memory iog (TACIT) helps you
– Aa
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