A nurse is assessing a client who has a hip fracture. Which of the following findings should the nurse expect?
Muscle spasms
Hip pallor
Leg abduction
Leg lengthening
The Correct Answer is A
A. Muscle spasms can occur in response to the hip fracture as the body attempts to protect the injured area. Spasms may cause pain and muscle rigidity in the affected hip.
B. Pallor refers to paleness of the skin. While hip fractures can result in various signs and symptoms such as pain, swelling, and bruising, hip pallor specifically is not typically associated with a hip fracture.
C. Leg abduction refers to moving the leg away from the midline of the body. In the case of a hip fracture, the affected leg may be held in adduction (closer to the midline) due to pain and muscle guarding.
D. Leg lengthening is not typically associated with a hip fracture. In fact, a hip fracture can often lead to apparent leg shortening due to displacement or angulation of the fractured bone.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Muscle spasms can occur in response to the hip fracture as the body attempts to protect the injured area. Spasms may cause pain and muscle rigidity in the affected hip.
B. Pallor refers to paleness of the skin. While hip fractures can result in various signs and symptoms such as pain, swelling, and bruising, hip pallor specifically is not typically associated with a hip fracture.
C. Leg abduction refers to moving the leg away from the midline of the body. In the case of a hip fracture, the affected leg may be held in adduction (closer to the midline) due to pain and muscle guarding.
D. Leg lengthening is not typically associated with a hip fracture. In fact, a hip fracture can often lead to apparent leg shortening due to displacement or angulation of the fractured bone.
Correct Answer is B
Explanation
B. A comminuted fracture involves the bone being broken into multiple pieces or fragments. This description matches the scenario of the fractured tibia being splintered into several pieces.
A. An impacted fracture occurs when the bone fragments are driven into each other, causing shortening of the bone. This description does not match the scenario provided.
C. An oblique fracture occurs when the fracture line runs diagonally across the bone shaft. This description does not match the scenario provided.
D. A transverse fracture occurs when the fracture line is perpendicular to the long axis of the bone. This description does not match the scenario provided.
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