Which nursing intervention is essential for patients with external fixation for fracture management?
Providing passive range of motion exercises
Changing the dressing daily
Loosening the fixation screws every 4 hours
Monitoring pin sites for signs of infection
The Correct Answer is D
Patients with external fixation require close monitoring of the pin sites for signs of infection, as they are at risk of developing pin site infections.
a. Providing passive range of motion exercises: Passive range of motion exercises may be appropriate in some cases, but they are not specific to external fixation management.
b. Changing the dressing daily: Dressing changes for external fixation are typically done as instructed by the healthcare provider, which may not necessarily be daily.
c. Loosening the fixation screws every 4 hours: Fixation screws should not be loosened without proper medical guidance, as this can compromise the stability of the external fixation device.
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Related Questions
Correct Answer is D
Explanation
A closed fracture is a fracture where the skin remains intact over the fractured bone, and there is no open wound at the site of the fracture.
a. A fracture where the bone breaks through the skin: This type of fracture is known as an open or compound fracture, where the bone pierces through the skin.
b. A fracture where the bone is out of alignment: This type of fracture is known as a displaced fracture, where the bone fragments are not aligned properly.
c. A fracture where the bone is completely broken in two: A complete fracture refers to a fracture that results in two separate bone fragments, but it does not necessarily involve the skin.
Correct Answer is A
Explanation
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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