The nurse is caring for a pediatric client who experienced a "greenstick" fracture. The client's mother asks the nurse what it means to have this type of fracture. Which of the following statements should the nurse make?

This means that the bone broke all the way through, perpendicular to the shaft.

This means that the bone broke in a spiral pattern.

This means that the bone bent and only the outer arc of the bend broke.

This means that the broken bone ends splintered into smaller pieces.

Answer and Explanation

The Correct Answer is C

A. This describes a transverse fracture, where the bone breaks completely across and perpendicular to the shaft. It does not describe a greenstick fracture.
B. A spiral fracture is caused by a twisting force, which results in a helical break. This is not a greenstick fracture.
C. A greenstick fracture occurs when the bone bends and cracks on the outer arc but does not break completely through. This type of fracture is more common in children because their bones are softer and more flexible.
D. This describes a comminuted fracture, where the bone breaks into several pieces. It does not match the description of a greenstick fracture.

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Correct Answer is D

Explanation

A. Ensuring an incentive spirometer is available is important for postoperative care to prevent atelectasis, but it is not the priority immediately before surgery.
B. Preoperative teaching is valuable but should ideally be completed earlier in the care process. Last-minute teaching may overwhelm the patient or delay critical interventions.
C. Reporting allergies is essential, but if the allergy to sardines does not pertain to the current surgical plan or medications, it is not the immediate priority in this situation.
D. Administering the preoperative intravenous antibiotic is the top priority because it helps reduce the risk of surgical site infections. Timing of preoperative antibiotics is critical to their effectiveness.

A. Chocolate and peppermint candies. B. Oatmeal with banana slices. C. Spaghetti with tomato sauce. D. Cheeseburger with grilled onions.

Correct Answer is B

Explanation

A. Chocolate and peppermint can relax the lower esophageal sphincter, worsening GERD symptoms. These should be avoided.
B. Oatmeal with banana slices is a good choice because it is low in fat and acid, which helps prevent GERD symptoms. Bananas are also a non-acidic fruit that is generally well-tolerated.
C. Spaghetti with tomato sauce contains acidic ingredients that can irritate the esophagus and worsen GERD symptoms.
D. A cheeseburger with grilled onions is high in fat, which can delay gastric emptying and increase reflux. Onions are also a known trigger for GERD symptoms.

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The nurse is caring for a pediatric client who experienced a "greenstick" fracture. The client's mother asks the nurse what it means to have this type of fracture. Which of the following statements should the nurse make?

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