Which assessment finding is indicative of a possible fracture?
Localized swelling and bruising
Warmth and redness at the site
Absence of pain with movement
Increased range of motion at the joint
The Correct Answer is A
Localized swelling and bruising are common signs of inflammation and injury at the fracture site. They may indicate the presence of a fracture, especially if the patient experienced trauma or a fall.
b. Warmth and redness at the site: Warmth and redness are signs of inflammation, but they are not specific to fractures and can occur in various musculoskeletal conditions.
c. Absence of pain with movement: Absence of pain with movement is not a typical finding in fractures. Fractures usually cause pain, especially with movement.
d. Increased range of motion at the joint: Increased range of motion may occur in some injuries, but it is not a reliable indicator of a fracture, especially if there is swelling and bruising present.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A greenstick fracture is an incomplete fracture where the bone breaks incompletely, with one side bending and the other side breaking. It is commonly seen in children due to their more flexible bones.
b. Comminuted fracture: A comminuted fracture occurs when the bone is crushed and shattered into multiple fragments, but it does not involve one side bending and the other side breaking.
c. Spiral fracture: A spiral fracture occurs when the bone is twisted, resulting in a spiral-shaped fracture line. It does not involve one side bending and the other side breaking.
d. Oblique fracture: An oblique fracture occurs when the bone breaks at an angle, but it does not involve one side bending and the other side breaking.
Correct Answer is C
Explanation
Numbness and tingling distal to the fracture, along with loss of pulses or capillary refill, may indicate neurovascular compromise. This is a serious complication that requires immediate medical attention to prevent potential tissue damage and complications.
a. Swelling and bruising at the fracture site: Swelling and bruising are common signs of inflammation and injury at the fracture site but do not require immediate medical attention unless accompanied by other concerning symptoms.
b. Mild localized pain with movement: Mild localized pain with movement is expected with a fracture and is not as concerning as neurovascular compromise.
d. Stiffness and limited range of motion in nearby joints: Stiffness and limited range of motion may occur after a fracture but are not as urgent as neurovascular compromise.
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