A nurse in an urgent care center is caring for a child who has a forearm fracture. The parent tells the nurse that the provider said it was a greenstick fracture and asks what that means. Which of the following descriptions should the nurse provide?
"Fragments of bone have splintered into the surrounding tissue."
"The bone ends have been forced toward each other."
"The sharp edge of the bone has broken through the skin."
"The bone cracked lengthwise but didn't break all the way through."
The Correct Answer is D
A. Splintering of bone into surrounding tissue describes a comminuted fracture, not a greenstick fracture.
B. Forcing bone ends toward each other describes an impacted fracture.
C. Bone breaking through the skin is a compound (open) fracture.
D. A greenstick fracture occurs when the bone bends and cracks partway through, without completely breaking, which is common in children due to their more flexible bones.
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Related Questions
Correct Answer is D
Explanation
A. A moderate intake of high-fiber foods is appropriate because excessive fiber can interfere with calcium absorption, but moderation supports overall health.
B. Reducing sodium intake helps decrease calcium loss through the kidneys, which is beneficial for osteoporosis prevention.
C. Limiting caffeine is recommended because excessive caffeine increases calcium excretion and reduces calcium absorption.
D. Vitamin E is not a nutrient associated with bone health. The focus should be on calcium and vitamin D, not vitamin E, so this statement requires clarification.
Correct Answer is D
Explanation
A. Urinary frequency is not a common adverse effect of methotrexate.
B. Increased hunger is unrelated to methotrexate therapy.
C. Some continued joint pain is expected for the first few weeks as the medication takes effect.
D. Malaise, fatigue, or signs of infection can indicate bone marrow suppression, a serious adverse effect of methotrexate. Clients should report these symptoms promptly to the provider.
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