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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

A. Hypovolemic shock: While disorientation and low SaO2 could be signs of hypovolemic shock, the presence of petechiae is not a typical symptom. Hypovolemic shock is usually associated with blood loss and does not present with petechiae.

B. Fat embolism: Fat embolism syndrome (FES) is a common complication after fractures, especially long bones like the tibia. The classic triad includes respiratory distress, neurological symptoms, and petechiae, making this the most likely diagnosis.

C. Thrombophlebitis: Thrombophlebitis involves inflammation of a vein due to a blood clot, typically presenting with localized pain, swelling, and redness, not petechiae or disorientation.

D. Osteomyelitis: Osteomyelitis is an infection of the bone. Symptoms include pain, fever, and redness over the infected area, but it does not typically present with disorientation, low SaO2, or petechiae.

A. Cough B. Fever C. Rash D. Headache

Correct Answer is B

Explanation

A. Cough: Cough is not a common symptom of osteomyelitis. It is more commonly associated with respiratory infections or conditions affecting the lungs and airways.

B. Fever: Fever is a common symptom of osteomyelitis, which is an infection of the bone. The body’s immune response to the infection often results in an elevated body temperature.

C. Rash: Rash is not typically associated with osteomyelitis. Rashes are more commonly seen in skin conditions, allergic reactions, or certain systemic infections.

D. Headache: Headache is not a common symptom of osteomyelitis. It is more frequently associated with conditions affecting the head, such as migraines, tension headaches, or infections of the central nervous system.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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

Correct Answer is B

Explanation

Which of the following is a common symptom of osteomyelitis?

Correct Answer is B

Explanation

What is an appropriate nursing intervention for postoperative care of a patient with a fractured leg?

Which of the following statements about rhabdomyolysis is true?

While collecting data from a client who has a cast on his right leg, a nurse locates an area on the cast that feels warm to the touch. The nurse also notices an odor in the area of the cast. Which of the following findings should the nurse identify as a complication to the client's condition?

A patient experiences a fracture of the lower leg and undergoes a closed reduction and placement of a fiberglass cast. The patient is 65 years old and has a medical 30-year history of diabetes mellitus. Which condition does the nurse recognize as a possible complication for this patient?

A nurse is reinforcing teaching with a client who has a new diagnosis of gout. The client asks the nurse how she got the disorder. Which of the following information should the nurse include in the teaching?

A nurse is preparing to administer clindamycin palmitate 225 mg PO to a client. Available is clindamycin palmitate oral suspension 75 mg/5 mL. How many mL should the nurse administer? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is discussing the difference between rheumatoid arthritis (RA) and osteoarthritis with a newly hired nurse. Which of the following information should the nurse include about osteoarthritis?