What is an appropriate nursing intervention for postoperative care of a patient with a fractured leg?
Apply warm compresses to the fractured leg
Encourage the patient to bear weight on the affected leg
Monitor the surgical incision for signs of infection
Assist the patient with ambulation using crutches or a walker
The Correct Answer is C
A. Apply warm compresses to the fractured leg: Warm compresses are not typically recommended immediately after surgery due to the risk of increasing inflammation and swelling.
B. Encourage the patient to bear weight on the affected leg: Weight bearing should be done according to the physician's orders. Early weight bearing can cause complications if not appropriately timed.
C. Monitor the surgical incision for signs of infection: This is a critical nursing intervention to prevent and detect postoperative infections early.
D. Assist the patient with ambulation using crutches or a walker: Assisting with ambulation using crutches or a walker is important for safety and promoting mobility, but it should be done following weight-bearing restrictions.
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Related Questions
Correct Answer is D
Explanation
A. The ropes attach securely to the pin. Secure attachment of the ropes is important but not usually a problem that needs correction.
B. The ropes are in the center of the wheel grooves. Proper placement of the ropes in the wheel grooves is important for smooth movement, but this is not a common problem needing correction.
C. The weights are equal on each side. Ensuring equal weights is important but not typically a problem needing correction as it is usually set up correctly initially.
D. The weights rest against the foot of the bed. Correct. Weights should not rest against the foot of the bed; they must hang freely to maintain proper traction and alignment.
Correct Answer is A
Explanation
A. Toes cold to touch: Cold toes can indicate compromised circulation, potentially due to compartment syndrome or other vascular issues, and should be reported immediately.
B. Pink tissue around the pin sites: Pink tissue around the pin sites usually indicates normal healing and is not generally a cause for concern unless accompanied by other symptoms of infection or inflammation.
C. Blanching of the toenail beds with pressure: Blanching of the toenail beds with pressure is a normal finding in assessing capillary refill and does not typically indicate a serious issue on its own.
D. Serous drainage from the pin sites: Serous drainage (clear, yellowish fluid) is common and expected post-operatively and does not usually indicate an infection or other complication unless there are additional concerning symptoms.
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