A nurse is caring for a child who has a fracture of the forearm. The parent tells the nurse that the provider said it was a greenstick fracture and asks what that means. Which of the following statements should the nurse make?

"Fragments of bone have splintered into the surrounding tissue."

"The sharp edge of the bone has broken through the skin."

"The bone ends have been forced toward each other."

"The bone is broken on one side and bent on the other side."

Answer and Explanation

The Correct Answer is D

A. This description refers to a comminuted fracture, where the bone is broken into multiple fragments. It is not characteristic of a greenstick fracture.

B. This description refers to a compound or open fracture, where the bone breaks through the skin. A greenstick fracture typically does not involve the bone piercing the skin.

C. This description refers to a compression or impacted fracture, where the bone ends are driven into each other. This is not the nature of a greenstick fracture.

D. A greenstick fracture occurs when the bone breaks on one side but bends on the other, similar to how a green twig might break. This is common in children due to the flexibility of their bones.

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Correct Answer is A

Explanation

A. Pleural effusion on the unaffected side is not directly related to a fractured rib. While rib fractures can lead to complications such as pneumothorax or hemothorax, pleural effusion on the opposite side is likely caused by another condition, such as infection or malignancy, and should be investigated separately.

B. Shallow breathing due to pain is a common response to a fractured rib, as the client may avoid deep breaths to minimize discomfort.

C. Guarding behavior when taking deep breaths is directly related to the pain caused by the fractured rib and is an expected observation.

D. Localized chest pain on inspiration is a hallmark symptom of a fractured rib, as the injury causes discomfort with chest wall movement during breathing.

A. Hypertension B. Hypoglycemia C. Polyuria D. Oral candidiasis

Correct Answer is D

Explanation

A. Hypertension is not a common adverse effect of Beclomethasone, an inhaled corticosteroid. Systemic effects like hypertension are rare with inhaled forms due to minimal systemic absorption.

B. Hypoglycemia is not associated with Beclomethasone use. Corticosteroids are more likely to cause hyperglycemia, but this is uncommon with inhaled formulations.

C. Polyuria is not an expected side effect of Beclomethasone. It is more commonly associated with conditions like diabetes or diuretics.

D. Oral candidiasis (thrush) is a common adverse effect of inhaled corticosteroids like Beclomethasone. The medication can suppress local immunity in the oral mucosa, leading to fungal overgrowth. Clients should be advised to rinse their mouth after each use to reduce this risk.

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A nurse is caring for a child who has a fracture of the forearm. The parent tells the nurse that the provider said it was a greenstick fracture and asks what that means. Which of the following statements should the nurse make?

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Naxlex Comprehensive Predictor Exams

The nurse is assessing the respiratory status of a client who has suffered a fractured rib. Which observation, if made by the nurse, would not be directly related to the fractured rib?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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