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 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.
Correct Answer is C
Explanation
The nurse should instruct the patient to avoid placing any objects under the cast to prevent skin irritation, damage to the cast, and potential introduction of bacteria or contaminants.
a. Encouraging the patient to frequently remove the cast for skin care is not recommended, as it can compromise the cast's fit and function and increase the risk of complications.
b. Advising the patient to use a hairdryer on the cast to relieve itching is not recommended, as it can cause skin maceration and damage the cast.
d. Educating the patient to keep the cast exposed to air for prolonged periods is not recommended, as dirt and debris can get trapped inside the cast, increasing the risk of infection. The patient should follow the healthcare provider's instructions for cast care.
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