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. Monitoring pin and wound sites for signs of infection. Correct. Infection at the pin and wound sites is a major risk with external fixation and requires vigilant monitoring and care.

B. Being aware that the patient may experience issues with body image. While body image concerns are important, they are not the primary priority in care.

C. Helping the patient achieve a desired level of mobility. Mobility is important, but the primary concern with external fixation is preventing and managing infections.

D. Providing a caring and supportive attitude during a challenging time. While providing emotional support is important, it is not the primary priority of care for external fixation.

A. It increases formation of purines. B. It increases metabolism of purines. C. It blocks formation of uric acid. D. It excretes protein.

Correct Answer is C

Explanation

A. It increases formation of purines. Increasing purine formation would exacerbate gout by increasing uric acid levels.

B. It increases metabolism of purines. Allopurinol does not increase the metabolism of purines.

C. It blocks formation of uric acid. Allopurinol works by inhibiting xanthine oxidase, an enzyme involved in the production of uric acid, thereby reducing uric acid levels in the body.

D. It excretes protein. Allopurinol does not promote protein excretion; it specifically targets uric acid metabolism.

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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

The nurse is providing care for a patient with an external fixation for a fracture involving severe bone damage. What is the priority of care?

Correct Answer is A

Explanation

A patient with gout has been instructed on the prescribed medication allopurinol (Zyloprim). Which patient statement indicates understanding of the action of this medication?

Correct Answer is C

Explanation

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