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 C
Explanation
Numbness and tingling distal to the fracture, along with loss of pulses or capillary refill, may indicate neurovascular compromise. This is a serious complication that requires immediate medical attention to prevent potential tissue damage and complications.
a. Swelling and bruising at the fracture site: Swelling and bruising are common signs of inflammation and injury at the fracture site but do not require immediate medical attention unless accompanied by other concerning symptoms.
b. Mild localized pain with movement: Mild localized pain with movement is expected with a fracture and is not as concerning as neurovascular compromise.
d. Stiffness and limited range of motion in nearby joints: Stiffness and limited range of motion may occur after a fracture but are not as urgent as neurovascular compromise.
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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