What is a crucial aspect of patient education about weight-bearing status after a fracture?
Encouraging immediate full weight-bearing on the affected limb.
Explaining the importance of partial weight-bearing on the affected limb.
Advising the patient to avoid putting any weight on the affected limb.
Instructing the patient to use assistive devices only during walking.
The Correct Answer is B
It is crucial for the patient to understand the importance of partial weight-bearing on the affected limb during the healing process. Partial weight-bearing helps promote bone healing and prevents excessive stress on the fracture site, reducing the risk of complications.
a. Encouraging immediate full weight-bearing on the affected limb can lead to further damage to the healing bone and may delay the healing process.
c. Advising the patient to avoid putting any weight on the affected limb can result in muscle atrophy, decreased circulation, and joint stiffness. Some weight-bearing is necessary for proper bone healing.
d. Instructing the patient to use assistive devices only during walking is not enough to ensure appropriate weight-bearing. The patient should follow specific weight-bearing restrictions as advised by the healthcare provider, even when using assistive devices.
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Related Questions
Correct Answer is B
Explanation
Assessing the neurovascular status of the affected limb is the priority nursing consideration in a patient with a fracture. Checking for pulses, capillary refill, sensation, and motor function helps identify neurovascular compromise, which requires immediate intervention to prevent potential tissue damage and complications.
a. Monitoring the patient's pain level is essential, but it is not the priority over assessing neurovascular status. Pain management can be addressed after ensuring the limb's vascular and neurological integrity.
c. Evaluating the range of motion in nearby joints is important for overall assessment, but it is not as critical as assessing neurovascular status in a patient with a fracture.
d. Instructing the patient about cast care is necessary, but it is not the priority consideration when the patient's neurovascular status is at risk.
Correct Answer is A
Explanation
A greenstick fracture is an incomplete fracture where the bone breaks incompletely, with one side bending and the other side breaking. It is commonly seen in children due to their more flexible bones.
b. Comminuted fracture: A comminuted fracture occurs when the bone is crushed and shattered into multiple fragments, but it does not involve one side bending and the other side breaking.
c. Spiral fracture: A spiral fracture occurs when the bone is twisted, resulting in a spiral-shaped fracture line. It does not involve one side bending and the other side breaking.
d. Oblique fracture: An oblique fracture occurs when the bone breaks at an angle, but it does not involve one side bending and the other side breaking.
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