A nurse is caring for a client with a hip fracture. The client is scheduled for surgery. When performing an ORIF procedure of a hip. what is the purpose of the internal fixation?

To fix bone fragments together using plates, screws, or other devices.

To remove damaged cartilage and bone from the affected area.

To repair damaged ligaments and tendons in the affected area.

To stabilize the fractured bone externally using a cast or splint.

Answer and Explanation

The Correct Answer is A

A. To fix bone fragments together using plates, screws, or other devices. This is the correct purpose of open reduction and internal fixation (ORIF). It stabilizes the bone fragments to ensure proper alignment and healing.

B. To remove damaged cartilage and bone from the affected area. This describes a debridement procedure, not ORIF. ORIF focuses on stabilizing the fracture, not removing tissue.

C. To repair damaged ligaments and tendons in the affected area. While ligament and tendon repair can be part of some orthopedic surgeries, ORIF specifically aims to fix bone fragments together.

D. To stabilize the fractured bone externally using a cast or splint. This describes external fixation or immobilization methods, not internal fixation.

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Correct Answer is ["300"]

Explanation

Rationale: From 0330 to 0600 is 2.5 hours. The calculation is:

120 mL/hr × 2.5 hours = 300 mL

A. Ultrasound B. Arthroscopy C. Serum Alkaline Phosphatase Test D. Bone Biopsy

Correct Answer is B

Explanation

A. Ultrasound: Ultrasound can be used to visualize soft tissue injuries and fluid accumulation but is not typically the first choice for long-term joint issues.
B. Arthroscopy: Arthroscopy is a minimally invasive procedure that allows direct visualization and treatment of joint problems. It is likely to be prescribed because it can help diagnose persistent pain and swelling in the knee.
C. Serum Alkaline Phosphatase Test: This blood test is used to evaluate bone growth and liver function. It is not specific for diagnosing joint pain or swelling.
D. Bone Biopsy: A bone biopsy is used to diagnose bone infections or cancer, which are not indicated in this scenario of persistent knee pain and swelling after an injury.

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A nurse is caring for a client with a hip fracture. The client is scheduled for surgery. When performing an ORIF procedure of a hip. what is the purpose of the internal fixation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

At 0330, a nurse is caring for a client who is postoperative. The client's IV fluids are infusing at 120 mL/hr. How many mL of IV fluid should infuse by 0600? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["300"]

Explanation

Correct Answer is B

Explanation

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