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 A

Explanation

A. Pain unrelieved by routine medications: Pain unrelieved by medication is a hallmark sign of compartment syndrome, a serious condition that requires immediate intervention.
B. Elevated WBC count: An elevated WBC count indicates infection but is not a specific sign of compartment syndrome.
C. Swelling and redness of the right leg: While swelling and redness can be present, they are not specific to compartment syndrome and can occur in many other conditions.
D. Decreased oxygen saturation: Decreased oxygen saturation is more commonly associated with respiratory or cardiac issues and is not specific to compartment syndrome.

A. Taking calcium supplements B. Avoiding all forms of physical activity C. Regular weight-bearing exercise D. Limiting sun exposure

Correct Answer is C

Explanation

A. Taking calcium supplements: While calcium supplements can help, they are not as effective alone without other measures such as weight-bearing exercise.
B. Avoiding all forms of physical activity. Physical inactivity can actually increase the risk of osteoporosis. Weight-bearing exercise helps to strengthen bones.
C. Regular weight-bearing exercise. Weight-bearing exercises, such as walking or lifting weights, are the most effective in promoting bone health and preventing osteoporosis.
D. Limiting sun exposure. Limiting sun exposure can actually be detrimental because it can lead to a deficiency in vitamin D, which is necessary for calcium absorption and bone health.

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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

A nurse is monitoring a client who has a cast on her right ankle following an open reduction and internal fixation procedure. The nurse should monitor for which of the following findings to identify compartment syndrome?

Correct Answer is A

Explanation

Which of the following strategies is most effective in preventing osteoporosis in older adults?

Correct Answer is C

Explanation

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