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?

Malalignment of healed bones.

Delay or absence of healing.

Impaired mobility function.

Development of bone infection.

Answer and Explanation

The Correct Answer is B

A. Malalignment of healed bones. While malalignment can occur, it is not specifically associated with diabetes mellitus. Malalignment is more commonly related to inadequate immobilization or improper casting technique.
B. Delay or absence of healing: Diabetes mellitus impairs circulation and healing processes due to poor blood flow and neuropathy, making delayed union or non-union a significant risk.
C. Impaired mobility function. While diabetes and aging can contribute to impaired mobility, this is a general consideration and not directly related to the specific complication of the fracture healing process.
D. Development of bone infection. Although diabetics are at higher risk for infections, a closed reduction and proper cast care reduce this risk. Infection would be more of a concern with an open fracture or surgery.

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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.

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 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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a patient with external fixation for a fracture involving severe bone damage. Which is the most important focus for the nurse during care of this patient?

Correct Answer is B

Explanation

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

Correct Answer is C

Explanation

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