SIP 9: NVA, Doppler and Traction Care

Which is the most early sign of neurovascular compromise?

• Pulseless

• Cold

• Pain

• Swelling

How do you describe this patient skin condition in NVA chart?

• Pale

• Mottled

• Pink

• Cyanotic

Capillary refill more than (a)   seconds indication impaired capillary blood supply

Patient just admitted from ED and noted has left neck of femur fracture, which pulse should you start with during NVA?

• Femoral

• Posterial Tibial

• Popliteal

• Dorsalis pedis

Which of the following is a possible complication of using skeletal traction?

I) Muscle atrophy

II) Pin site infection

III) Impaired blood flow

IV) Joint stiffness

• I and II

• I and III

• I, II and III

• All of the above

Which of the following is NOT a normal artery Doppler waveform?

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Which of the following condition is not recommended for Hamilton Russel traction?

• Intertrochanteric fracture

• Neck of femur fracture

• Shaft of femur fracture

• Sub-trochanteric fracture

Which of the following is not the principles of effective traction?

• Maintain the line of pull

• Ensure patient is always in sitting position

• Maintain continuous traction

• Ensure friction is not interfering with the line of pull

You have a patient who has undergone an above-knee amputation. You have been ordered to perform a bedside Doppler assessment on this patient. What would be the most appropriate location for this Doppler assessment?

• Femoral artery

• Popliteal artery

• Dorsalis pedis artery

• Posterior tibial artery

Your patient has been hospitalized due to right distal humerus fracture. What instructions would you provide to the patient when assessing his motor function?

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