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 C
Explanation
In a patient with an open fracture (compound fracture), there is a risk of infection due to the exposure of the bone to the external environment. The nurse should assess for signs of infection, such as redness, warmth, swelling, drainage, and increased pain at the fracture site.
a. Assessing joint range of motion is important, but it is not the priority in a patient with an open fracture, where preventing infection is the main concern.
b. Assessing neurological function in the unaffected limb is not directly related to the open fracture and may not be the priority at this time.
d. Assessing the quality of pain experienced by the patient is important for pain management but is not the priority over assessing for signs of infection in an open fracture.
Correct Answer is C
Explanation
In a closed fracture, where the skin remains intact over the fractured bone, intense localized pain and tenderness at the fracture site are common symptoms. The skin acts as a barrier, preventing bone fragments from protruding through the skin.
a. Bone fragments protruding through the skin: This symptom is associated with an open or compound fracture, where the bone pierces through the skin.
b. Visible deformity at the fracture site: Visible deformity may occur in both closed and open fractures, but it is not specific to closed fractures.
d. Open wound with bleeding at the fracture site: An open wound with bleeding is characteristic of an open or compound fracture, not a closed fracture.
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