What is the primary goal of closed reduction in the treatment of fractures?
To surgically realign the fractured bone
To stabilize the fracture with internal fixation
To immobilize the fractured bone with a cast
To restore the fractured bone to its normal position without surgery
The Correct Answer is D
Closed reduction is a non-surgical procedure used to manually realign the fractured bone to its normal position without making an incision. It is often followed by cast immobilization or other forms of stabilization.
a. To surgically realign the fractured bone: Surgical realignment is typically performed through open reduction and internal fixation (ORIF), not closed reduction.
b. To stabilize the fracture with internal fixation: Internal fixation involves the use of screws, plates, or rods to stabilize fractures, and it is not part of the closed reduction procedure.
c. To immobilize the fractured bone with a cast: Immobilization with a cast may follow closed reduction, but it is not the primary goal of the reduction procedure itself.
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Related Questions
Correct Answer is C
Explanation
Calcium supplements are commonly prescribed to promote bone healing in patients with fractures. Adequate calcium intake is essential for bone repair and regeneration.
a. Nonsteroidal anti-inflammatory drugs (NSAIDs): NSAIDs may help manage pain and inflammation, but they do not directly promote bone healing and may even inhibit it in some cases.
b. Antibiotics: Antibiotics are prescribed to treat or prevent infection, but they do not play a direct role in bone healing unless an infection is present.
d. Bisphosphonates: Bisphosphonates are used to treat osteoporosis and other bone disorders but are not typically prescribed specifically for fracture healing.
Correct Answer is A
Explanation
The patient should be instructed not to cover the cast with plastic when bathing or swimming, as moisture can weaken the cast and increase the risk of skin irritation and infection. The cast should be kept dry to maintain its structural integrity.
b. Applying heat directly to the cast to speed up drying is not recommended, as excessive heat can lead to discomfort and skin irritation. The cast should be air-dried or gently patted dry with a towel.
c. Using cotton swabs to clean the skin under the cast can introduce fibers into the cast and potentially irritate the skin. The nurse should advise the patient not to insert anything under the cast.
d. Keeping the cast exposed to air for long periods may lead to dirt and debris getting trapped in the cast and increasing the risk of infection. The patient should be cautious and avoid exposing the cast to dirt and contaminants.
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