What nursing intervention is essential for the prevention of compartment syndrome in a patient with a fracture?
Administering analgesics for pain relief
Elevating the affected limb above the heart
Applying ice packs to the fracture site
Regularly monitoring neurovascular status
The Correct Answer is D
Regularly monitoring neurovascular status, including assessing pulses, capillary refill, sensation, and motor function, is essential for early detection of compartment syndrome, which can occur after a fracture. Compartment syndrome is a serious condition where increased pressure within the muscle compartment can compromise blood flow and nerve function.
a. Administering analgesics for pain relief is important, but it does not directly prevent compartment syndrome.
b. Elevating the affected limb above the heart can help reduce swelling but does not specifically prevent compartment syndrome.
c. Applying ice packs to the fracture site can help reduce pain and swelling but is not a preventive measure for compartment syndrome.
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Related Questions
Correct Answer is C
Explanation
An open fracture, also known as a compound fracture, occurs when the bone breaks and penetrates the skin, exposing the fracture site to the external environment. It carries an increased risk of infection and requires immediate medical attention.
a. Closed fracture: A closed fracture is a type of fracture where the bone breaks but does not penetrate the skin, keeping the fracture site enclosed.
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.
d. Stress fracture: A stress fracture is a small crack or incomplete break in the bone, often caused by repetitive stress and overuse.
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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