Which clinical manifestation is commonly seen in a Colles' fracture?
Pain and swelling of the ankle
Deformity and shortening of the affected limb
Loss of sensation and motor function distal to the fracture
Angulation and swelling of the distal forearm
The Correct Answer is D
Colles' fracture is a type of distal radius fracture that results in angulation and swelling of the distal forearm near the wrist joint.
a. Pain and swelling of the ankle: Pain and swelling of the ankle are not related to a Colles' fracture, which occurs in the distal forearm, not the ankle.
b. Deformity and shortening of the affected limb: Deformity and shortening of the limb may occur in some fractures but are not specific to a Colles' fracture.
c. Loss of sensation and motor function distal to the fracture: Loss of sensation and motor function may occur in nerve injuries associated with fractures, but it is not a characteristic of Colles' fracture.
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Related Questions
Correct Answer is B
Explanation
It is crucial for the patient to regularly check for signs of skin irritation and redness around the cast edges. Skin irritation and redness can indicate pressure points or infection, and early identification can prevent complications.
a. Breaking off rough edges of the cast with scissors can damage the cast and compromise its structural integrity. The patient should not alter the cast in any way.
c. Using lotion to moisturize the skin under the cast is not recommended, as it can lead to skin irritation and may compromise the cast's fit and function. The skin under the cast should be kept dry and clean.
d. Using a heating pad to alleviate discomfort is not recommended, as excessive heat can lead to skin irritation and may weaken the cast. The patient should use ice packs or follow the healthcare provider's instructions for pain management.
Correct Answer is C
Explanation
Before moving or handling the affected limb, the nurse must assess for any signs of neurovascular compromise, such as changes in pulses, capillary refill, sensation, and motor function. This assessment helps identify potential vascular or nerve injuries and guides appropriate care to prevent complications.
a. Explaining the importance of immobilization to the patient is important but is not directly related to assessing for neurovascular compromise before moving the limb.
b. Applying a splint or cast to the affected limb is typically done after the initial assessment and diagnosis of the fracture, not before handling the limb.
d. Administering analgesics for pain relief is important, but it does not directly relate to assessing for neurovascular compromise before moving the limb.
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