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 B

Explanation

A. Ultrasound: Ultrasound can be used to visualize soft tissue injuries and fluid accumulation but is not typically the first choice for long-term joint issues.
B. Arthroscopy: Arthroscopy is a minimally invasive procedure that allows direct visualization and treatment of joint problems. It is likely to be prescribed because it can help diagnose persistent pain and swelling in the knee.
C. Serum Alkaline Phosphatase Test: This blood test is used to evaluate bone growth and liver function. It is not specific for diagnosing joint pain or swelling.
D. Bone Biopsy: A bone biopsy is used to diagnose bone infections or cancer, which are not indicated in this scenario of persistent knee pain and swelling after an injury.

A. Diabetes B. Osteogenesis imperfecta C. Cancer D. Osteoporosis

Correct Answer is A

Explanation

A. Diabetes: Diabetes increases the risk of osteomyelitis because high blood sugar levels can impair circulation, immune response, and wound healing, making infections more likely to develop and harder to treat.
B. Osteogenesis imperfecta: Osteogenesis imperfecta primarily affects bone fragility and does not directly increase the risk of osteomyelitis.
C. Cancer: Cancer can affect the bones and immune system, but it is not as directly linked to an increased risk of osteomyelitis as diabetes is.
D. Osteoporosis: Osteoporosis affects bone density and strength, making bones more prone to fractures, but it does not directly increase the risk of bone infection (osteomyelitis).

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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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Correct Answer is B

Explanation

Which medical condition increases the risk of osteomyelitis?

Correct Answer is A

Explanation

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