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 B
Explanation
A greenstick fracture is an incomplete fracture that commonly occurs in children due to their bones being more pliable and flexible than adult bones. In a greenstick fracture, one side of the bone bends and partially breaks, while the other side remains intact.
a. 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 can occur in both children and adults.
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 can occur in both children and adults.
d. Oblique fracture: An oblique fracture is a type of fracture where the fracture line is diagonal to the long axis of the bone and can occur in both children and adults.
Correct Answer is C
Explanation
Before moving or handling the affected limb, the nurse must assess for any signs of neurovascular compromise, such as changes in pulses, capillary refill, sensation, and motor function. This assessment helps identify potential vascular or nerve injuries and guides appropriate care to prevent complications.
a. Explaining the importance of immobilization to the patient is important but is not directly related to assessing for neurovascular compromise before moving the limb.
b. Applying a splint or cast to the affected limb is typically done after the initial assessment and diagnosis of the fracture, not before handling the limb.
d. Administering analgesics for pain relief is important, but it does not directly relate to assessing for neurovascular compromise before moving the limb.
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