What is an essential nursing consideration for a patient with a suspected fracture before moving or handling the affected limb?
Explaining the importance of immobilization to the patient
Applying a splint or cast to the affected limb
Assessing for any signs of neurovascular compromise
Administering analgesics for pain relief
The Correct Answer is C
Before moving or handling the affected limb, the nurse must assess for any signs of neurovascular compromise, such as changes in pulses, capillary refill, sensation, and motor function. This assessment helps identify potential vascular or nerve injuries and guides appropriate care to prevent complications.
a. Explaining the importance of immobilization to the patient is important but is not directly related to assessing for neurovascular compromise before moving the limb.
b. Applying a splint or cast to the affected limb is typically done after the initial assessment and diagnosis of the fracture, not before handling the limb.
d. Administering analgesics for pain relief is important, but it does not directly relate to assessing for neurovascular compromise before moving the limb.
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Related Questions
Correct Answer is B
Explanation
A transverse fracture occurs when the bone breaks straight across its long axis, perpendicular to the bone's length.
a. Greenstick fracture: A greenstick fracture involves the bone bending and partially breaking, usually seen in children. It does not break straight across the bone.
c. Oblique fracture: An oblique fracture involves a diagonal break, not straight across the bone's long axis.
d. Comminuted fracture: In a comminuted fracture, the bone breaks into multiple pieces, which is different from breaking straight across the bone.
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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