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 B

Explanation

A. Hypertonic fluids are not contraindicated in patients with cerebral edema. In fact, they are often used to reduce cerebral swelling by drawing fluid out of the brain tissue into the bloodstream.
B. Hypertonic saline (3%) is used to shift fluid out of brain tissue in conditions such as cerebral edema. It creates an osmotic gradient, pulling water from the intracellular space into the extracellular and vascular compartments, reducing intracranial pressure.
C. Hypertonic saline is not used for clients with hypernatremia because it would exacerbate the condition by further increasing sodium levels.
D. Hypertonic fluids do not promote hydration of brain tissue. Instead, they work to reduce excess fluid in the brain by creating an osmotic effect.

A. Apply a constricting bandage/gauze wrap B. Advise the client they will need an immediate amputation C. Prepare the client to go back to the operating room D. Elevate the extremity and apply ice E. Notify the surgeon

Correct Answer is ["C","E"]

Explanation

A. Applying a constricting bandage/gauze wrap is contraindicated. This could further compromise circulation and exacerbate ischemia.
B. Advising the client about an immediate amputation is inappropriate and outside the nurse's scope of practice. The focus should be on timely intervention and notifying the surgeon.
C. Preparing the client to go back to the operating room is appropriate because the symptoms indicate potential compartment syndrome or vascular compromise, which often requires surgical intervention to restore circulation.
D. Elevating the extremity and applying ice is contraindicated in this scenario. Elevation can further decrease blood flow to an already ischemic limb, and ice application can cause vasoconstriction, worsening the issue.
E. Notifying the surgeon is essential. The described symptoms are a surgical emergency requiring immediate evaluation and intervention to prevent permanent damage.

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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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Naxlex Comprehensive Predictor Exams

Which of the following statements regarding hypertonic (3%) sodium chloride is correct?

Correct Answer is B

Explanation

Correct Answer is ["C","E"]

Explanation

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