What is the most appropriate initial diagnostic study for suspected fractures?
X-ray
MRI
CT scan
Ultrasound
The Correct Answer is A
X-ray is the most appropriate initial diagnostic study for suspected fractures. It provides clear images of bones and can help identify the presence, location, and extent of the fracture.
b. MRI: MRI is useful for soft tissue imaging, but it may not be the first choice for initial evaluation of fractures. X-rays are more commonly used for immediate assessment.
c. CT scan: CT scan can provide detailed images of bones and soft tissues, but it is not typically the first-line imaging study for fractures. X-rays are more commonly performed first.
d. Ultrasound: Ultrasound is primarily used for imaging soft tissues and may not provide sufficient detail for evaluating fractures. X-rays are more appropriate for initial assessment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A closed fracture is a fracture where the skin remains intact over the fractured bone, and there is no open wound at the site of the fracture.
a. A fracture where the bone breaks through the skin: This type of fracture is known as an open or compound fracture, where the bone pierces through the skin.
b. A fracture where the bone is out of alignment: This type of fracture is known as a displaced fracture, where the bone fragments are not aligned properly.
c. A fracture where the bone is completely broken in two: A complete fracture refers to a fracture that results in two separate bone fragments, but it does not necessarily involve the skin.
Correct Answer is B
Explanation
Assessing the neurovascular status of the affected limb is the priority nursing consideration in a patient with a fracture. Checking for pulses, capillary refill, sensation, and motor function helps identify neurovascular compromise, which requires immediate intervention to prevent potential tissue damage and complications.
a. Monitoring the patient's pain level is essential, but it is not the priority over assessing neurovascular status. Pain management can be addressed after ensuring the limb's vascular and neurological integrity.
c. Evaluating the range of motion in nearby joints is important for overall assessment, but it is not as critical as assessing neurovascular status in a patient with a fracture.
d. Instructing the patient about cast care is necessary, but it is not the priority consideration when the patient's neurovascular status is at risk.
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