What nursing intervention should be implemented for a patient with a fractured extremity before applying a cast?
Elevate the extremity to reduce swelling.
Apply ice packs to the fracture site.
Administer analgesics to manage pain.
Obtain baseline neurovascular assessment.
The Correct Answer is D
Before applying a cast, the nurse should obtain a baseline neurovascular assessment of the extremity to establish normal function. This assessment will serve as a reference for comparison throughout the cast's application and during the healing process.
a. Elevating the extremity to reduce swelling is a valuable intervention but is not directly related to applying a cast. It can be performed later as part of post-cast application care.
b. Applying ice packs to the fracture site can help reduce swelling and pain but is not a step in preparing for the cast application.
c. Administering analgesics to manage pain is important, but obtaining a baseline neurovascular assessment is the priority before applying a cast.
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Related Questions
Correct Answer is C
Explanation
Smoking is associated with an increased risk of fractures because it can negatively impact bone health, reduce bone density, and impair bone healing.
a. Adequate calcium intake: Adequate calcium intake is essential for maintaining strong bones and reducing the risk of fractures, so it is not associated with an increased risk.
b. Regular weight-bearing exercise: Regular weight-bearing exercise helps improve bone density and reduces fracture risk, so it is not associated with an increased risk.
d. Maintaining a healthy body weight: Maintaining a healthy body weight is beneficial for overall health, but it is not specifically associated with an increased risk of fractures.
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.
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