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.
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
Naxlex Comprehensive Predictor Exams
Related Questions
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
Correct Answer is B
Explanation
A. Tell the client that if she does not get out of bed she will not receive any assistance with bathing. This approach is coercive and unethical. It does not respect the client's autonomy and could harm the nurse-client relationship.
B. Acknowledge the client's wishes, but explain the importance of ambulation postoperatively. This approach respects the client's autonomy while providing education on the importance of ambulation for recovery. It encourages the client to make an informed decision.
C. Ask for assistance from a physical therapist to help move the client out of bed. While involving a physical therapist is helpful, it should be done after the nurse explains the importance of ambulation and obtains the client's consent.
D. Instruct the assistive personnel (AP) to transfer the client to a chair. This does not address the client's refusal and autonomy. Forcing the client to transfer without consent is inappropriate.
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