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 C

Explanation

A. Rhabdomyolysis is caused by a viral infection: While viral infections can sometimes contribute, rhabdomyolysis is not primarily caused by them. It is usually due to muscle injury from trauma, exercise, drugs, or other factors.

B. Rhabdomyolysis is a chronic condition that cannot be treated: Rhabdomyolysis is an acute condition that can be treated, primarily by managing the complications and addressing the underlying cause.

C. Rhabdomyolysis is a condition characterized by the breakdown of muscle tissue: This is the correct definition. Rhabdomyolysis involves the breakdown of muscle tissue, releasing myoglobin into the bloodstream, which can lead to kidney damage.

D. Rhabdomyolysis is a respiratory disorder that affects lung function: Rhabdomyolysis is not a respiratory disorder. It primarily affects the muscles and kidneys.

A. Explain the use of assistive devices. B. Clean skin with antibacterial skin cleaning cloths. C. Teach postoperative exercises. D. Ask if a consent form was signed.

Correct Answer is B

Explanation

A. Explain the use of assistive devices. While explaining the use of assistive devices is important, it is not the primary preoperative care focus.

B. Clean skin with antibacterial skin cleaning cloths. Correct. Preoperative skin cleaning with antibacterial cloths is crucial to reduce the risk of postoperative infections.

C. Teach postoperative exercises. Teaching postoperative exercises is important but is typically part of preoperative education rather than immediate preoperative care.

D. Ask if a consent form was signed. Ensuring that consent forms are signed is necessary but is not the primary preoperative care focus.

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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

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Correct Answer is B

Explanation

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