The nurse is collecting data on a patient with a left tibia fracture. Which of the following findings is a priority finding?

Increased red blood cell count

Decreased lymphocyte count

Decreased body temperature

Absent left pedal pulse

Answer and Explanation

The Correct Answer is D

A. Increased red blood cell count: An increased red blood cell count is not an immediate concern in the context of a fracture.

B. Decreased lymphocyte count: A decreased lymphocyte count could indicate an infection or immune issue but is not the immediate priority in a fracture situation.

C. Decreased body temperature: Hypothermia can be concerning, but in the context of a fracture, it is not as critical as neurovascular compromise.

D. Absent left pedal pulse: An absent pedal pulse indicates a possible compromised circulation to the lower extremity, which is a critical and immediate concern. It could signify a compartment syndrome or arterial damage requiring urgent intervention.

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Correct Answer is A

Explanation

A. To fix bone fragments together using plates, screws, or other devices. This is the correct purpose of open reduction and internal fixation (ORIF). It stabilizes the bone fragments to ensure proper alignment and healing.

B. To remove damaged cartilage and bone from the affected area. This describes a debridement procedure, not ORIF. ORIF focuses on stabilizing the fracture, not removing tissue.

C. To repair damaged ligaments and tendons in the affected area. While ligament and tendon repair can be part of some orthopedic surgeries, ORIF specifically aims to fix bone fragments together.

D. To stabilize the fractured bone externally using a cast or splint. This describes external fixation or immobilization methods, not internal fixation.

A. Use a pillow to prop your arm close to the ear. B. Position your arm with the shoulder at a 90-degree angle. C. Hold the arm against the side of your body. D. Keep your arm bent at the elbow

Correct Answer is C

Explanation

A. Use a pillow to prop your arm close to the ear. This instruction would position the arm in abduction, not adduction. Adduction involves bringing the arm closer to the body, not away from it.

B. Position your arm with the shoulder at a 90-degree angle. This would also position the arm in abduction, as a 90-degree angle would place the arm away from the body.

C. Hold the arm against the side of your body. Adduction means bringing the arm closer to the midline of the body, which is achieved by holding the arm against the side.

D. Keep your arm bent at the elbow. This instruction focuses on the elbow rather than the shoulder. Adduction refers to the shoulder's position relative to the body.

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The nurse is collecting data on a patient with a left tibia fracture. Which of the following findings is a priority finding?

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