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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The patient should be instructed not to cover the cast with plastic when bathing or swimming, as moisture can weaken the cast and increase the risk of skin irritation and infection. The cast should be kept dry to maintain its structural integrity.
b. Applying heat directly to the cast to speed up drying is not recommended, as excessive heat can lead to discomfort and skin irritation. The cast should be air-dried or gently patted dry with a towel.
c. Using cotton swabs to clean the skin under the cast can introduce fibers into the cast and potentially irritate the skin. The nurse should advise the patient not to insert anything under the cast.
d. Keeping the cast exposed to air for long periods may lead to dirt and debris getting trapped in the cast and increasing the risk of infection. The patient should be cautious and avoid exposing the cast to dirt and contaminants.
Correct Answer is C
Explanation
An open fracture, also known as a compound fracture, occurs when the bone breaks and penetrates the skin, exposing the fracture site to the external environment. It carries an increased risk of infection and requires immediate medical attention.
a. Closed fracture: A closed fracture is a type of fracture where the bone breaks but does not penetrate the skin, keeping the fracture site enclosed.
b. Greenstick fracture: A greenstick fracture is an incomplete fracture seen in children, where the bone bends and partially breaks on one side but remains intact on the other side.
d. Stress fracture: A stress fracture is a small crack or incomplete break in the bone, often caused by repetitive stress and overuse.
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