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.
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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Related Questions
Correct Answer is D
Explanation
A. While impaired perineal skin integrity is a concern due to frequent diarrhea, it is not the priority because it does not pose an immediate threat to the client’s overall health or survival.
B. Protein-calorie malnutrition is a long-term risk associated with Crohn’s disease but is less critical during an acute exacerbation compared to immediate risks like fluid and electrolyte imbalance.
C. Although pain related to abdominal cramping is a significant concern, addressing pain does not take precedence over life-threatening risks such as dehydration or electrolyte disturbances.
D. Fluid and electrolyte imbalance is the priority because severe diarrhea can rapidly lead to dehydration, hypovolemia, and electrolyte imbalances, which can cause life-threatening complications such as cardiac arrhythmias or shock.
Correct Answer is D
Explanation
A. Prepare the client for a CT scan is not the first priority in this case. A CT scan might be considered if there is suspicion of complications like a kidney stone or abscess, but it is not the first intervention.
B. Begin broad spectrum antibiotics could be considered if a urinary tract infection (UTI) is suspected, but obtaining urine samples for culture and urinalysis is necessary first to confirm the diagnosis and guide antibiotic therapy.
C. Insert a Foley catheter is not indicated unless the patient is unable to void or there is a need for continuous monitoring of urine output, but it is not the first step.
D. Obtain samples for urine culture and urinalysis is the first step to confirm the diagnosis of a urinary tract infection (UTI) and determine the appropriate treatment. This will help guide the selection of antibiotics.
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