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 A
Explanation
It is essential for the patient to avoid moving the cast to relieve itching as this can lead to skin breakdown, discomfort, and improper healing. The nurse should instruct the patient to use cool air or apply ice packs on the outside of the cast to alleviate itching without disturbing the cast's positioning.
b. Using a hairdryer on a warm setting to dry the inside of the cast is not recommended. The heat can cause discomfort and may not effectively dry the interior of the cast, leading to skin irritation and potential infection.
c. Sticking objects under the cast to scratch the skin can damage the skin and introduce bacteria, increasing the risk of infection. The patient should be instructed not to insert any objects under the cast.
d. Removing the cast if it becomes loose is not within the patient's scope of practice. If the cast becomes loose or uncomfortable, the patient should seek immediate medical attention for evaluation and adjustment by a healthcare professional.
Correct Answer is A
Explanation
A comminuted fracture is a type of fracture where the bone breaks into multiple fragments. This can occur due to a high-impact injury or significant force applied to the bone.
b. 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.
c. 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.
d. Transverse fracture: A transverse fracture is a type of fracture where the fracture line is perpendicular to the long axis of the bone.
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