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 C
Explanation
A spiral fracture occurs due to twisting or rotational forces on the bone, resulting in a twisting break along the bone's length.
a. Greenstick fracture: A greenstick fracture involves the bone bending and partially breaking, usually seen in children. It is not caused by twisting forces.
b. Transverse fracture: A transverse fracture occurs when the bone breaks straight across its long axis, not due to twisting.
d. Comminuted fracture: In a comminuted fracture, the bone breaks into multiple pieces, which is not associated with twisting forces.
Correct Answer is C
Explanation
Stress fractures are small, hairline cracks in the bone that occur due to repetitive stress or overuse. They typically present with a gradual onset of localized pain that worsens with activity.
a. Severe pain and visible deformity: Severe pain and visible deformity are more commonly seen in acute fractures resulting from trauma or high-impact injuries, not stress fractures.
b. Sudden onset of swelling and bruising: Sudden onset of swelling and bruising is more indicative of acute fractures, not stress fractures.
d. Inability to bear weight on the affected limb: Inability to bear weight may be present in some fractures, but it is not a specific characteristic of stress fractures.
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