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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Related Questions
Correct Answer is B
Explanation
A comminuted fracture occurs when the bone is crushed and shattered into multiple fragments, resulting in significant bone displacement and increased difficulty in alignment during the healing process.
a. Greenstick fracture: A greenstick fracture is an incomplete fracture where the bone bends and partially breaks, commonly seen in pediatric patients. It does not involve bone crushing or fragmentation.
c. Avulsion fracture: An avulsion fracture occurs when a small fragment of bone is pulled away from the main bone due to the forceful attachment of a tendon or ligament. It is not characterized by bone crushing or fragmentation.
d. Stress fracture: A stress fracture is a tiny crack in the bone caused by repetitive stress and overuse. It does not involve bone crushing or fragmentation.
Correct Answer is C
Explanation
In a comminuted fracture, the bone is broken into multiple pieces, which may require more complex treatment and longer healing time.
a. Greenstick fracture: A greenstick fracture involves the bone bending and partially breaking, commonly seen in children. It does not result in multiple pieces.
b. Transverse fracture: A transverse fracture occurs when the bone breaks straight across its long axis, but it does not involve multiple pieces.
d. Spiral fracture: A spiral fracture is characterized by a twisting or spiraling break along the bone, but it does not result in multiple pieces.
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