Which intervention is important for preventing complications in a patient with a lower extremity fracture?
Early ambulation
Bed rest for 24 hours
Avoidance of pain medication
Delayed wound dressing changes
The Correct Answer is A
Early ambulation (walking) is important for preventing complications such as deep vein thrombosis (DVT) and muscle atrophy in patients with lower extremity fractures.
b. Bed rest for 24 hours: Prolonged bed rest can lead to complications such as muscle weakness, DVT, and pressure ulcers. Early ambulation is preferred to prevent these issues.
c. Avoidance of pain medication: Pain management is essential for patient comfort and mobility. Avoiding pain medication may hinder early ambulation and delay recovery.
d. Delayed wound dressing changes: Appropriate wound care is crucial for preventing infection and ensuring proper healing. Delayed wound dressing changes may increase the risk of infection.
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Related Questions
Correct Answer is B
Explanation
Numbness and tingling distal to the fracture, along with loss of pulses or capillary refill, may indicate compromised blood flow or nerve injury. It is a concerning sign that requires immediate medical attention.
a. Swelling and bruising at the fracture site: Swelling and bruising are common signs of inflammation and injury at the fracture site, but they are not as concerning as neurovascular compromise.
c. Mild localized pain with movement: Mild localized pain with movement is expected with a fracture, and it does not raise immediate concerns.
d. Warmth and redness at the fracture site: Warmth and redness are signs of inflammation and increased blood flow to the injured area, which is normal during the healing process.
Correct Answer is A
Explanation
An oblique fracture involves a break in the bone that is at an angle to the long axis of the bone. It is often the result of a diagonal force applied to the bone.
b. Spiral fracture: A spiral fracture occurs when the bone is twisted, causing a spiral-shaped fracture line. It often results from a twisting force applied to the bone and is not specifically at an angle to the long axis of the bone.
c. Transverse fracture: A transverse fracture is a type of fracture where the fracture line is perpendicular to the long axis of the bone and is not at an angle.
d. Greenstick fracture: A greenstick fracture is an incomplete fracture seen in children, where the bone bends and partially breaks on one side but remains intact on the other side. It is not specifically at an angle to the long axis of the bone.
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