What is a closed fracture?
A fracture where the bone breaks through the skin
A fracture where the bone is out of alignment
A fracture where the bone is completely broken in two
A fracture where the skin remains intact over the fractured bone
The Correct Answer is D
A closed fracture is a fracture where the skin remains intact over the fractured bone, and there is no open wound at the site of the fracture.
a. A fracture where the bone breaks through the skin: This type of fracture is known as an open or compound fracture, where the bone pierces through the skin.
b. A fracture where the bone is out of alignment: This type of fracture is known as a displaced fracture, where the bone fragments are not aligned properly.
c. A fracture where the bone is completely broken in two: A complete fracture refers to a fracture that results in two separate bone fragments, but it does not necessarily involve the skin.
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Related Questions
Correct Answer is C
Explanation
For a stable closed fracture, cast immobilization is a common treatment option. A cast helps support and protect the fractured bone, allowing it to heal properly.
a. Open reduction and internal fixation (ORIF): ORIF is a surgical procedure used for complex or unstable fractures that cannot be treated with a cast alone.
b. Traction: Traction is applied to realign and stabilize fractures, but it is not typically the first-line treatment for stable closed fractures.
d. External fixation: External fixation involves using pins and an external frame to stabilize fractures, and it is typically used for complex or open fractures.
Correct Answer is B
Explanation
It is crucial for the patient to regularly check for signs of skin irritation and redness around the cast edges. Skin irritation and redness can indicate pressure points or infection, and early identification can prevent complications.
a. Breaking off rough edges of the cast with scissors can damage the cast and compromise its structural integrity. The patient should not alter the cast in any way.
c. Using lotion to moisturize the skin under the cast is not recommended, as it can lead to skin irritation and may compromise the cast's fit and function. The skin under the cast should be kept dry and clean.
d. Using a heating pad to alleviate discomfort is not recommended, as excessive heat can lead to skin irritation and may weaken the cast. The patient should use ice packs or follow the healthcare provider's instructions for pain management.
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