A nurse is caring for a client who has a fractured tibia as a result of a fall. The client's x-ray shows that the bone is splintered into several pieces around the shaft. The nurse should identify that the client has which of the following types of fractures?
Transverse
Oblique
Impacted
Comminuted
The Correct Answer is D
A. Transverse fractures occur straight across the bone. In this case, the bone is splintered, which is not characteristic of a transverse fracture.
B. Oblique fractures have a diagonal break across the bone. This does not match the description provided in the scenario.
C. Impacted fractures occur when one end of the bone is forced into the adjacent bone. This does not align with the description of the fracture in the scenario.
D. Correct. A comminuted fracture involves the bone breaking into multiple fragments or pieces. This aligns with the description provided in the scenario where the bone is splintered into several pieces around the shaft.
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Related Questions
Correct Answer is C
Explanation
A. Teaching the primary caregiver is an important component of post-discharge planning, but the focus of rehabilitative care is on the client’s functional recovery, mobility, and independence rather than solely caregiver instruction.
B. Rehabilitation supports recovery, but effective outcomes require early initiation. Planning and interventions often start during hospitalization to address mobility deficits, prevent complications such as pressure injuries or deconditioning, and prepare the client for a safe transition to the next level of care.
C. Rehabilitative care begins with hospital admission, when the healthcare team evaluates the client’s physical and functional status, develops individualized goals, and initiates early interventions. Early rehabilitation is supported by research to improve mobility, reduce length of stay, and optimize long-term functional outcomes.
D. Rehabilitation is not confined to long-term care facilities; it can occur in hospitals, outpatient clinics, specialized rehab centers, and at home, depending on the client’s needs and recovery trajectory.
Correct Answer is D
Explanation
A. Ecchymosis of the distal foot may be expected after the application of a cast and is not necessarily an immediate concern unless it is severe or rapidly worsening.
B. Dependent edema distal to the cast can occur as a normal response to immobilization. It is not an immediate concern unless it is severe or associated with other concerning symptoms.
C. A moderate level of pain can be expected after the application of a cast. It should be managed appropriately, but it is not an immediate concern unless it is severe or uncontrolled.
D. Inability to flex the toes of the casted foot suggests a potential issue with circulation or nerve function, which requires immediate notification of the provider.
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