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 D
Explanation
: Educating the patient about signs of neurovascular compromise, such as changes in sensation, color, or temperature of the limb, is essential to ensure early detection of potential complications and timely intervention.
a. Encouraging the patient to bear full weight on the cast immediately is not recommended, as weight-bearing should follow the healthcare provider's instructions, which may involve partial weight-bearing initially.
b. Instructing the patient to elevate the casted limb above the heart can help reduce swelling but may not be the primary focus of discharge teaching for a newly applied cast.
c. Advising the patient to use a heating pad on the cast to relieve discomfort is not recommended, as excessive heat can damage the cast and increase the risk of skin irritation.
Correct Answer is C
Explanation
An avulsion fracture occurs when a piece of bone is torn away by a ligament or tendon, often due to a sudden and forceful contraction of the muscle.
a. Greenstick fracture: A greenstick fracture involves the bone bending and partially breaking, not being torn away by a ligament or tendon.
b. Transverse fracture: A transverse fracture occurs when the bone breaks straight across its long axis, not due to ligament or tendon forces.
d. Impacted fracture: An impacted fracture occurs when the bone fragments are driven into each other, often seen in a fall or compression injury, not involving ligament or tendon tears.
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