A nurse is taking care of a client with a displaced fracture. The nurse knows a displaced fracture is best described as?
A fracture in which the bone is completely broken into two or more pieces
A fracture in which the bone breaks through the skin
A fracture in which the broken ends of the bone are out of alignment
A fracture in which the bone is partially cracked but still intact
The Correct Answer is C
A. A fracture in which the bone is completely broken into two or more pieces. This describes a complete fracture but does not necessarily imply displacement.
B. A fracture in which the bone breaks through the skin. This describes an open or compound fracture, not specifically a displaced fracture.
C. A fracture in which the broken ends of the bone are out of alignment. This is the correct definition of a displaced fracture. The bone ends are misaligned and require reduction to align properly.
D. A fracture in which the bone is partially cracked but still intact. This describes a partial or incomplete fracture, such as a greenstick fracture, not a displaced fracture.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Acutely inflamed joints respond best to heat therapy. Heat therapy is generally used to relieve chronic stiffness in RA but acutely inflamed joints typically respond better to cold therapy to reduce inflammation.
B. It’s important to monitor all body systems for effects of the disease. Correct. RA is a systemic autoimmune disease that can affect multiple body systems, not just the joints, unlike osteoarthritis, which is primarily a degenerative joint disease.
C. Exercise is poorly tolerated and frequent rest is needed. While rest is important during acute flare-ups, regular, gentle exercise is crucial in managing RA to maintain joint function and muscle strength.
D. Injury and age are the greatest contributors to disease development. RA is an autoimmune disorder with a different etiology than osteoarthritis, which is more related to wear and tear and aging.
Correct Answer is B
Explanation
A. Providing a caring and supportive attitude during a challenging time: While emotional support is crucial and beneficial for the patient's overall well-being and recovery, it is not the primary focus when dealing with external fixation and the risk of complications.
B. Monitoring pin and wound sites for signs of infection: Infection is a significant risk with external fixation devices, and early detection is critical to prevent severe complications such as osteomyelitis. This makes monitoring for infection the most important focus.
C. Being aware that the patient may experience issues with body image: Body image concerns are valid and can affect a patient’s mental health, but they are secondary to the physical risks associated with external fixation, such as infection.
D. Helping the patient achieve a desired level of mobility: Mobility is an important goal in the patient's rehabilitation, but ensuring the prevention of infection takes precedence because an infection can severely impact overall recovery.
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