Which clinical manifestation is often present in a stress fracture?
Severe pain and deformity
Sudden onset of swelling and bruising
Gradual onset of localized pain with activity
Inability to bear weight on the affected limb
The Correct Answer is C
: 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 deformity: Severe pain and 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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Correct Answer is C
Explanation
In a closed fracture, where the skin remains intact over the fractured bone, intense localized pain and tenderness at the fracture site are common symptoms. The skin acts as a barrier, preventing bone fragments from protruding through the skin.
a. Bone fragments protruding through the skin: This symptom is associated with an open or compound fracture, where the bone pierces through the skin.
b. Visible deformity at the fracture site: Visible deformity may occur in both closed and open fractures, but it is not specific to closed fractures.
d. Open wound with bleeding at the fracture site: An open wound with bleeding is characteristic of an open or compound fracture, not a closed fracture.
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.
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