What should the nurse assess for in a patient with an open fracture?
Joint range of motion
Neurological function in the unaffected limb
Signs of infection at the fracture site
Quality of pain experienced by the patient
The Correct Answer is C
In a patient with an open fracture (compound fracture), there is a risk of infection due to the exposure of the bone to the external environment. The nurse should assess for signs of infection, such as redness, warmth, swelling, drainage, and increased pain at the fracture site.
a. Assessing joint range of motion is important, but it is not the priority in a patient with an open fracture, where preventing infection is the main concern.
b. Assessing neurological function in the unaffected limb is not directly related to the open fracture and may not be the priority at this time.
d. Assessing the quality of pain experienced by the patient is important for pain management but is not the priority over assessing for signs of infection in an open fracture.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Cancer is a risk factor for pathological fractures because cancer cells can weaken bones and cause fractures, even with minimal trauma.
a. Hypertension: Hypertension is a condition characterized by high blood pressure and is not directly associated with an increased risk of fractures.
b. Diabetes mellitus: Diabetes mellitus is a metabolic disorder that affects blood sugar levels and does not directly increase the risk of fractures.
d. Asthma: Asthma is a respiratory condition that affects the airways and lungs and is not linked to an increased risk of fractures.
Correct Answer is B
Explanation
A greenstick fracture is an incomplete fracture that commonly occurs in children due to their bones being more pliable and flexible than adult bones. In a greenstick fracture, one side of the bone bends and partially breaks, while the other side remains intact.
a. 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 and can occur in both children and adults.
c. Transverse fracture: A transverse fracture is a type of fracture where the fracture line is perpendicular to the long axis of the bone and can occur in both children and adults.
d. Oblique fracture: An oblique fracture is a type of fracture where the fracture line is diagonal to the long axis of the bone and can occur in both children and adults.
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