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 C
Explanation
A. A fracture in which the bone is completely broken into two or more pieces. This describes a complete fracture but does not necessarily imply displacement.
B. A fracture in which the bone breaks through the skin. This describes an open or compound fracture, not specifically a displaced fracture.
C. A fracture in which the broken ends of the bone are out of alignment. This is the correct definition of a displaced fracture. The bone ends are misaligned and require reduction to align properly.
D. A fracture in which the bone is partially cracked but still intact. This describes a partial or incomplete fracture, such as a greenstick fracture, not a displaced fracture.
Correct Answer is A
Explanation
A. "Your provider may prescribe a central catheter line for long-term antibiotics." Correct. Osteomyelitis often requires long-term intravenous antibiotics, and a central catheter line is typically used for this purpose.
B. "You may need to apply a cold pack to the site three times per day." Cold therapy is not a standard treatment for osteomyelitis; managing infection and inflammation through medication is key.
C. "You will need to limit consumption of high-protein foods." There is no need to limit high-protein foods; in fact, adequate nutrition, including protein, is important for healing.
D. "Your provider may ask you to walk multiple times per day to increase circulation." While mobility is important, walking on an infected heel wound might not be advisable until the infection is under control.
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