Which complication of fractures is a result of excessive callus formation at the fracture site?
Nonunion
Malunion
Delayed union
Hypertrophic nonunion
The Correct Answer is D
Hypertrophic nonunion occurs when there is excessive callus formation at the fracture site, but the bone ends fail to unite. This can lead to persistent pain and limited function.
a. Nonunion: Nonunion occurs when the fractured bone fails to heal and fuse together, but it does not involve excessive callus formation.
b. Malunion: Malunion refers to a fracture that heals in an incorrect position or alignment, and it is not directly related to excessive callus formation.
c. Delayed union: Delayed union refers to a fracture that takes longer than usual to heal, and it is not specifically characterized by excessive callus formation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Before applying a cast, the nurse should obtain a baseline neurovascular assessment of the extremity to establish normal function. This assessment will serve as a reference for comparison throughout the cast's application and during the healing process.
a. Elevating the extremity to reduce swelling is a valuable intervention but is not directly related to applying a cast. It can be performed later as part of post-cast application care.
b. Applying ice packs to the fracture site can help reduce swelling and pain but is not a step in preparing for the cast application.
c. Administering analgesics to manage pain is important, but obtaining a baseline neurovascular assessment is the priority before applying a cast.
Correct Answer is C
Explanation
For a stable closed fracture, cast immobilization is a common treatment option. A cast helps support and protect the fractured bone, allowing it to heal properly.
a. Open reduction and internal fixation (ORIF): ORIF is a surgical procedure used for complex or unstable fractures that cannot be treated with a cast alone.
b. Traction: Traction is applied to realign and stabilize fractures, but it is not typically the first-line treatment for stable closed fractures.
d. External fixation: External fixation involves using pins and an external frame to stabilize fractures, and it is typically used for complex or open fractures.
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