The nurse is providing care for a patient with an external fixation for a fracture involving severe bone damage. What is the priority of care?

Monitoring pin and wound sites for signs of infection.

Being aware that the patient may experience issues with body image.

Helping the patient achieve a desired level of mobility.

Providing a caring and supportive attitude during a challenging time.

Answer and Explanation

The Correct Answer is A

A. Monitoring pin and wound sites for signs of infection. Correct. Infection at the pin and wound sites is a major risk with external fixation and requires vigilant monitoring and care.

B. Being aware that the patient may experience issues with body image. While body image concerns are important, they are not the primary priority in care.

C. Helping the patient achieve a desired level of mobility. Mobility is important, but the primary concern with external fixation is preventing and managing infections.

D. Providing a caring and supportive attitude during a challenging time. While providing emotional support is important, it is not the primary priority of care for external fixation.

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Correct Answer is A

Explanation

A. Use your palms to move the cast. Using the palms prevents indentations that can cause pressure points and potential injury to the patient.
B. Do not move the cast until it is dry. The cast may need to be moved for various reasons, and waiting until it is completely dry may not be practical or safe.
C. Have the patient reposition their own leg. The patient should not move the leg to prevent potential damage or misalignment.
D. Use your fingertips to grasp the cast. Using fingertips can create pressure points and indentations in the still-damp plaster, potentially causing skin breakdown or pressure sores.

A. It increases formation of purines. B. It increases metabolism of purines. C. It blocks formation of uric acid. D. It excretes protein.

Correct Answer is C

Explanation

A. It increases formation of purines. Increasing purine formation would exacerbate gout by increasing uric acid levels.

B. It increases metabolism of purines. Allopurinol does not increase the metabolism of purines.

C. It blocks formation of uric acid. Allopurinol works by inhibiting xanthine oxidase, an enzyme involved in the production of uric acid, thereby reducing uric acid levels in the body.

D. It excretes protein. Allopurinol does not promote protein excretion; it specifically targets uric acid metabolism.

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The nurse is providing care for a patient with an external fixation for a fracture involving severe bone damage. What is the priority of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient sustains a closed femur fracture of the right tibia and is placed in a long leg plaster cast, which is still damp. Which of the following methods should the nurse use to move the cast to prevent complications?

Correct Answer is A

Explanation

A patient with gout has been instructed on the prescribed medication allopurinol (Zyloprim). Which patient statement indicates understanding of the action of this medication?

Correct Answer is C

Explanation

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