Which of the following types of fractures involves the bone breaking into multiple pieces?
Greenstick fracture
Transverse fracture
Comminuted fracture
Spiral fracture
The Correct Answer is C
In a comminuted fracture, the bone is broken into multiple pieces, which may require more complex treatment and longer healing time.
a. Greenstick fracture: A greenstick fracture involves the bone bending and partially breaking, commonly seen in children. It does not result in multiple pieces.
b. Transverse fracture: A transverse fracture occurs when the bone breaks straight across its long axis, but it does not involve multiple pieces.
d. Spiral fracture: A spiral fracture is characterized by a twisting or spiraling break along the bone, but it does not result in multiple pieces.
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Correct Answer is D
Explanation
Hypertrophic nonunion occurs when there is excessive callus formation at the fracture site, but the bone ends fail to unite. This can lead to persistent pain and limited function.
a. Nonunion: Nonunion occurs when the fractured bone fails to heal and fuse together, but it does not involve excessive callus formation.
b. Malunion: Malunion refers to a fracture that heals in an incorrect position or alignment, and it is not directly related to excessive callus formation.
c. Delayed union: Delayed union refers to a fracture that takes longer than usual to heal, and it is not specifically characterized by excessive callus formation.
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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