What are the main causes of Diabetic Foot Ulcers?
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Nerve damage (neuropathy) and poor circulation.
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What are the main causes of Diabetic Foot Ulcers?
Nerve damage (neuropathy) and poor circulation.
Who is susceptible to developing Diabetic Foot Ulcers?
Anyone with diabetes, especially those with poor blood sugar control, peripheral neuropathy, and other risk factors.
What are the main types of biopsy?
Needle Biopsy, Surgical Biopsy, Endoscopic Biopsy, and Punch Biopsy.
What is Stage 0 of venous disorders?
No visible signs; symptoms like achy or tired legs may be present.
What are some indications for debridement?
Chronic wounds, infected or necrotic tissue, burns, and non-healing surgical wounds.
What are some potential complications of a biopsy?
Infection, bleeding, damage to surrounding tissue, and allergic reactions.
What is a priority nursing action when preparing a patient for a minor surgical procedure?
To be determined based on specific context.
What are specific types of breast cancer that may require a mastectomy?
Infiltrating/Invasive Ductal Carcinoma, Infiltrating Lobular Carcinoma, Triple-Negative Breast Cancer, Inflammatory Breast Cancer, and Paget’s Disease of the Breast.
Why are Diabetic Foot Ulcers a significant concern?
They are a leading cause of non-traumatic lower extremity amputations in the U.S.
What is the purpose of an external fixator?
To stabilize bone fragments using pins or wires attached to bars placed outside the skin.
What is a priority nursing action when preparing the surgical environment?
Ensuring adequate lighting in the operating room.
What nursing intervention is appropriate after performing wound debridement?
Applying a dry dressing.
What is surgical debridement?
The removal of dead tissue using a scalpel or surgical instrument.
What does a benign finding in a biopsy indicate?
No evidence of cancer or other serious disease.
What are the potential outcomes of debridement?
Successful healing, incomplete healing, or the need for further debridement.
What is a common complication during debridement?
Infection and excessive bleeding.
What is an inappropriate action regarding patient meals before a procedure?
Allowing the patient to eat a heavy meal right before the procedure.
What types of pain management may be provided to patients post-procedure?
Over-the-counter medications or prescription painkillers.
What are the risks associated with biopsy procedures?
Inaccurate results, infection, and tissue damage.
What is venous insufficiency?
A venous disease that causes damaged leg veins to pool blood, leading to high pressure and hindered blood flow back to the heart.
What are primary causes of venous insufficiency?
Genetic predisposition.
How does peripheral arterial disease (PAD) contribute to Diabetic Foot Ulcers?
It reduces blood flow, limiting oxygen and nutrients necessary for healing, making ulcers more likely to form.
What is the most appropriate initial action when observing increasing redness and tenderness along a mastectomy wound?
Document any findings and inform the physician.
What is a recommended prevention strategy for venous insufficiency?
Avoid sitting or standing for too long and move around frequently.
What is a priority nursing action when caring for a patient with arterial insufficiency?
Elevating the affected limb.
What should a nurse ensure regarding the consent form before a procedure?
That the patient has signed the consent form.
What is a key nursing action during the intraoperative phase?
Assisting the surgeon by holding surgical instruments.
What role does peripheral neuropathy play in Diabetic Foot Ulcers?
It causes loss of sensation, making individuals unaware of injuries that can lead to ulcers.
What does debridement aim to achieve?
To remove dead, damaged, or infected tissue from a wound to promote healing.
What is the first step in the biopsy procedure?
Preparation, which often includes local anesthesia.
What are non-surgical treatments for venous insufficiency?
Endovenous ablation and sclerotherapy.
What lifestyle changes can help manage venous insufficiency?
Leg elevation, regular exercise, weight management, avoiding smoking and excessive alcohol, and maintaining healthy skin.
What nursing intervention is appropriate for facilitating patient understanding during an outpatient consultation?
Encouraging the patient to ask questions about the condition.
What is a priority nursing action when caring for a patient with a chronic wound?
Assessing the wound for signs of infection.
What is the purpose of a frozen section?
To determine if a tumor is cancerous or benign and to assess surgical margins.
What is the purpose of wound care post-procedure?
To monitor the surgical site for signs of infection, swelling, and pain.
What is a biopsy?
A medical procedure in which a small sample of tissue is taken from the body for diagnostic examination.
What are some secondary causes of venous insufficiency?
Obesity, sedentary lifestyle, pregnancy, prolonged standing or sitting, chronic conditions like hypertension or diabetes, and frequent wearing of high heels.
What is autolytic debridement?
A method that uses the body’s own enzymes and moisture to break down dead tissue.
What is the purpose of the implant in internal fixation?
To provide temporary stabilization, maintain alignment during recovery, and support functional rehabilitation.
What nursing intervention is appropriate for promoting wound healing in a patient with a chronic wound?
Keeping the wound covered and dry.
What long-term management is necessary after a mastectomy?
Ongoing surveillance for breast cancer recurrence, with frequency and type varying based on individual factors.
What is an inappropriate nursing action regarding pre-operative medication?
Providing pre-operative medication without verifying the physician’s order.
What is external fixation?
A method of stabilizing a fracture using a cluster of pins connected to the external environment.
What nursing intervention promotes patient safety during the postoperative phase?
Monitoring vital signs and assessing for complications.
What is a priority nursing action before performing wound debridement?
Administering pain medication.
What nursing intervention is appropriate for maintaining aseptic technique?
Avoiding reaching across the sterile field.
What are the two stages of open reduction internal fixation?
Fracture reduction and internal fixation.
What is the role of biological debridement?
The use of maggots to consume dead tissue in certain wound types.
What immediate postoperative care is required after a mastectomy?
Pain management, wound care, monitoring for complications, early mobilization, and infection prevention.
What is a key nursing intervention to minimize the risk of surgical site infection (SSI)?
Performing a thorough skin preparation with antiseptic solution.
What is a priority nursing action when caring for a patient with a diabetic foot ulcer?
Assessing the ulcer for signs of infection.
What is open reduction internal fixation (ORIF)?
A surgical procedure that uses plates, screws, or an intramedullary rod to stabilize and repair bone fractures.
What musculoskeletal abnormalities can occur in diabetics?
Foot deformities and joint stiffness, which can increase the risk of ulcer formation.
What are some complications associated with external fixation?
Pin tract infection, pin loosening, pin breakage, and chronic osteomyelitis.
What methods are used for internal fixation?
Plates and screws, K-wires, intramedullary nails or rods, tension band wiring, and TightRope.
What is the purpose of compression therapy in venous insufficiency?
To improve blood flow and reduce swelling by wearing compression stockings or using intermittent pneumatic compression.
What happens to the tissue during a frozen section procedure?
The tissue is quickly frozen, cut into thin slices, and examined under a microscope.
What is a Diabetic Foot Ulcer?
A common complication of diabetes caused by nerve damage and poor circulation, typically forming on the bottom of the foot.
What are common signs and symptoms of venous insufficiency?
Achy or tired legs, burning or tingling sensations, leg cramps at night, discolored skin, edema, flaking or itchy skin, heavy feeling in the legs, leathery-looking skin, ulcers, and varicose veins.
What nursing intervention is appropriate for promoting diabetic foot ulcer healing?
Keeping the ulcer dry and covered.
When is a biopsy recommended?
When a mass is detected, abnormalities are identified, certain symptoms occur, or screening for cancer is required.
What are common post-procedure care steps after a biopsy?
Pain management, wound care, and monitoring for complications.
What is a priority nursing action when preparing a patient for an outpatient consultation?
Reviewing the patient's medical history and current chief complaints.
What are common symptoms post-ORIF surgery?
Pain and discomfort, swelling and bruising, limited range of motion, fatigue, and hardware sensation.
What is the outcome of a mastectomy procedure?
Findings can be benign, malignant, borderline, non-neoplastic, or normal.
When is external fixation typically indicated?
For open fractures with severe soft tissue injury, closed fractures with soft tissue compromise, and pelvic fractures requiring fixation.
What skin changes can increase the risk of Diabetic Foot Ulcers?
Dryness and decreased sensation due to poor circulation and nerve damage.
What are some management strategies to prevent Diabetic Foot Ulcers?
Keep blood sugar levels low, practice adequate foot care, wear appropriate footwear, and have regular foot checkups.
What is a frozen section in biopsy procedures?
A rapid biopsy technique that involves freezing tissue samples immediately for quick analysis during surgery.
What are some complications of internal fixation?
Infection, bleeding, nerve damage, skin complications, and blood clots.
What is a mastectomy?
A surgical procedure to remove some or all of the breast tissue, used as treatment or prevention for breast cancer.
What are some factors that may require a mastectomy?
Large tumor, tumor involves more than one area of the breast, radiation therapy is not advisable, and women at risk of breast cancer (e.g., BRCA1 and BRCA2 mutations).
What role do supportive care services play in long-term management after a mastectomy?
They provide physical therapy, psychosocial support, and survivorship programs.
What evaluations and tests are performed before a mastectomy?
Clinical Breast Examination (CBE), Mammography, Breast Ultrasound, Breast MRI, Biopsy, Genetic Testing, and Frozen Section.
What are the types of mastectomy?
Total (Simple) Mastectomy, Modified Radical Mastectomy, Radical Mastectomy, Skin-Sparing Mastectomy, and Nipple-Sparing Mastectomy.