What is an essential part of the nursing assessment for a patient with a suspected fracture?
Assessing cognitive function
Measuring blood pressure
Checking peripheral pulses
Evaluating liver function
The Correct Answer is C
Checking peripheral pulses is an essential part of the nursing assessment for a patient with a suspected fracture, especially in the extremity near the fracture site. It helps monitor circulation and ensures adequate blood flow to the injured area.
a. Assessing cognitive function: Assessing cognitive function is important for patients' overall health, but it is not directly related to a suspected fracture assessment.
b. Measuring blood pressure: Measuring blood pressure is part of the routine nursing assessment but is not specific to a suspected fracture.
d. Evaluating liver function: Evaluating liver function is not directly related to the assessment of a suspected fracture.
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Correct Answer is B
Explanation
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.
Correct Answer is A
Explanation
A comminuted fracture is a type of fracture where the bone breaks into multiple fragments. This can occur due to a high-impact injury or significant force applied to the bone.
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.
c. Spiral fracture: A spiral fracture occurs when the bone is twisted, causing a spiral-shaped fracture line. It often results from a twisting force applied to the bone.
d. Transverse fracture: A transverse fracture is a type of fracture where the fracture line is perpendicular to the long axis of the bone.
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