An 80-year-old man falls and suffers a compound fracture of the femur. Which immediate action is most appropriate?
Carefully splint the leg as it is
Apply a tourniquet on the leg
Position him flat on his back
Carefully straighten the leg
The Correct Answer is A
A. In the case of a compound (open) fracture, the priority is to immobilize the limb in the position found to prevent further injury, bleeding, or damage to surrounding tissues. The leg should be carefully splinted as it is without attempting to realign it.
B. A tourniquet is a last resort for life-threatening bleeding and can cause significant tissue damage if used inappropriately.
C. Lying flat may not be appropriate depending on the injury and pain; priority is stabilizing the fracture.
D. Straightening the leg can worsen the injury and should never be done in the field or before imaging and medical evaluation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Diazepam is a benzodiazepine that acts quickly to stop active seizures and is the first-line medication for status epilepticus.
B. Lisinopril is an antihypertensive and not used for seizure management.
C. Atenolol is a beta-blocker used for cardiac conditions and not related to seizure treatment.
D. Phenytoin is used for seizure prevention and maintenance therapy but is not the initial emergency treatment for status epilepticus.
Correct Answer is A
Explanation
A. The nurse should assess for alteration in peripheral circulation, such as changes in color, temperature, pulse, or sensation in the lower extremities. The abductor wedgekeeps the legs abducted to prevent dislocation of the hip, but if applied improperly, it may impair circulation or cause nerve compression.
B. Muscle spasms can occur after surgery but are not directly related to the use of an abduction wedge.
C. Compression fractures are not a typical concern in the immediate care of a patient with an abduction wedge after hip replacement.
D. While correct wedge size is important, the priorityis to monitor for complications such as compromised circulation.
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