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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Pain unrelieved by routine medications: Pain unrelieved by medication is a hallmark sign of compartment syndrome, a serious condition that requires immediate intervention.
B. Elevated WBC count: An elevated WBC count indicates infection but is not a specific sign of compartment syndrome.
C. Swelling and redness of the right leg: While swelling and redness can be present, they are not specific to compartment syndrome and can occur in many other conditions.
D. Decreased oxygen saturation: Decreased oxygen saturation is more commonly associated with respiratory or cardiac issues and is not specific to compartment syndrome.
Correct Answer is B
Explanation
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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