Scenerio

  1. Hello Nurses,
    I have a scenario, give me an answer.
    I found Mrs A on the floor near her bed in her room fallen down, she is lying on her back in a straight lying position.
    She complains of lower back pain, I need to assess hee for fracture or dislocation before moving her.
    What are definitive signs and symptoms of a fracture and a dislocation in this scenario?
    I checked her neurovitals, results are normal.
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  2. Visit Raj777 profile page

    About Raj777

    Joined: May '18; Posts: 3; Likes: 1

    19 Comments

  3. by   Triddin
    What would you suspect the pt to complain about if they had a fracture/ dislocation? What would you see? Would there be a difference in how they move their limbs with a fracture?
  4. by   Davey Do
    Quote from Raj777
    Hello Nurses
    Hi! (From one of us.)
    Quote from Raj777
    I have a scenario, give me an answer.
    What?! No foreplay?
    Quote from Raj777
    I found Mrs A on the floor near her bed in her room fallen down, she is lying on her back in a straight lying position.
    It's always good to get straight A's, isn't it?
    Quote from Raj777
    She complains of lower back pain, I need to assess hee for fracture or dislocation before moving her.
    Yes. First assess her "hee" and then assess her "haw".
    Quote from Raj777
    What are definitive signs and symptoms of a fracture and a dislocation in this scenario?
    Wait a minute- what do I get if I give the right answer?
    Quote from Raj777
    I checked her neurovitals, results are normal.
    Heck, if neurological checks are normal, call a rapid response, she'll be placed on a backboard, taken to radiology, and the radiologist will determine if she has a fracture!

    Oh-BTW: Welcome to AN.com, Raj!
  5. by   sallyrnrrt
    Quote from Davey Do
    Hi! (From one of us.)

    What?! No foreplay?

    It's always good to get straight A's, isn't it?

    Yes. First assess her "hee" and then assess her "haw".

    Wait a minute- what do I get if I give the right answer?

    Heck, if neurological checks are normal, call a rapid response, she'll be placed on a backboard, taken to radiology, and the radiologist will determine if she has a fracture!

    Oh-BTW: Welcome to AN.com, Raj!
    Well Davey

    If you can successfully do the "hee & haw"

    You could successfully drive a mule team, as that is the most important commands to give a mule.....
    Last edit by sallyrnrrt on May 26 : Reason: Sp
  6. by   sallyrnrrt
    I can see it now, DAVEY do,, mule skinner blues (( snicker))
  7. by   Davey Do
    Quote from sallyrnrrt
    If you can successfully do the "hee & haw"

    You could successfully drive a mule team, as that is the most important commands to give a mule.....
    Speaking of mules, I heard tale that Mrs. A's hubby is one big A!

    (You know, Sally, I really expected a lot more from you than this, with your initials of "rrt"!)
  8. by   JKL33
    Quote from Raj777
    What are definitive signs and symptoms of a fracture and a dislocation in this scenario?
    None, really.

    Bone sticking out, I guesss ?
  9. by   sallyrnrrt
    Quote from Davey Do
    Speaking of mules, I heard tale that Mrs. A's hubby is one big A!

    (You know, Sally, I really expected a lot more from you than this, with your initials of "rrt"!)


    Well I could always use a straight miller blade and #8 ET tube.......

    It's early and I'm only on my second cup of coffee."
  10. by   meanmaryjean
    OP: You got.permission to post your homework here from.your instructor, right?



    Also, happy you thought to jump in the internet immediately after performing neurovitals to get the expert advice of random.strangers! Good critical thinking there..
  11. by   sallyrnrrt
    To ans this student question,

    Observe leg length, and any internal rotation....

    You can gental raise one leg up 15 degrees and if that gives a pain response, could. Be lower back pathology...

    But that technically be out of scope of practice, especially if you don't know what you are doing....
    Last edit by sallyrnrrt on May 26 : Reason: Sp
  12. by   sallyrnrrt
    Davey, you do realize my RRT, does not associate rapid response team, but is reg.respiratory therapist....

    early lumber jacks used mule teams to trans port and roll logs in the forest,

    thus is Davey had his hee and haw, together, he would " log roll the patient to back board, so. She could be safely transported for ER, radiology etc.....

    weather he he bought the mule in, well "film at news"
    Last edit by sallyrnrrt on May 26 : Reason: Text
  13. by   sallyrnrrt
    Wait a , min. Eye witness new, reporting at the scene......

    Since Davey was responsive with the " hee and haw"..... the question is?


    Wait for it.......

    Is Davey the "mule?"
  14. by   Wiggly Litchi
    Quote from Davey Do
    Hi! (From one of us.)

    What?! No foreplay?
    I hear it's a dying art haha

    Your response made my day lol

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