A nurse is reinforcing teaching with a parent of a child who has a greenstick fracture. Which of the following information should the nurse include in the teaching?
The bone bends, causing a microscopic fracture line.
The fracture does not cross through the bone.
The bone is compressed, causing a raised area at the fracture site.
The fracture completely divides the bone.
The Correct Answer is B
The fracture does not cross through the bone. Choice A reason:
The statement in Choice A is incorrect because it describes a greenstick fracture as the bone bending and causing a microscopic fracture line. This is not true for a greenstick fracture. A greenstick fracture is an incomplete fracture where the bone bends and partially breaks on one side while remaining intact on the other side. The rationale for this is that pediatric bones are more flexible than adult bones, and when a force is applied, they tend to bend rather than completely break.
Choice B reason:
Choice B is the correct answer. A greenstick fracture does not cross through the bone; it involves only one side of the bone being broken while the other side remains intact. This type of fracture is common in children because their bones are still developing and contain more collagen, making them more flexible and prone to bending rather than breaking completely.
Choice C reason:
The statement in Choice C is incorrect because it describes a different type of fracture. A compressed fracture involves the bone being crushed or shortened, leading to a raised area at the fracture site. This is not characteristic of a greenstick fracture, which involves bending and partial breakage rather than compression.
Choice D reason:
The statement in Choice D is incorrect because it describes a complete fracture that completely divides the bone into two separate pieces. A greenstick fracture, as explained earlier, is an incomplete fracture and does not completely divide the bone.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
Choice A reason: The nurse should plan to ask the client to empty their bladder before performing Leopold maneuvers. The rationale behind this is to ensure that the client's bladder is empty to allow for better palpation of the uterus and fetal position. A full bladder can interfere with accurate assessment and may lead to incorrect findings during the examination.
Choice B reason:
The nurse should assist the client into a left-lateral position. This position is ideal for performing Leopold maneuvers because it helps to displace the uterus away from the vena cava, reducing the risk of supine hypotension syndrome. Moreover, the left-lateral position promotes optimal blood flow to the placenta, which is essential for the well-being of the fetus during the examination.
Choice C reason:
The nurse should apply an external fetal monitor to the client's abdomen after completing the Leopold maneuvers. The purpose of Leopold maneuvers is to determine the fetal position and presentation manually. Once this information is obtained, applying the external fetal monitor allows continuous monitoring of the fetal heart rate and uterine contractions to assess the baby's well-being and the progression of labor.
Choice D reason:
The nurse should not instruct the client to perform nipple stimulation when planning to assist with Leopold maneuvers. Nipple stimulation is a method to induce or augment labor, and it is not related to the process of assessing fetal position and presentation using Leopold maneuvers. It may lead to unnecessary contractions and confusion during the examination.
Correct Answer is B
Explanation
Choice A reason:
Obtaining vital signs is essential in assessing the child's overall condition, but it is not the first action the nurse should take in this situation. The priority is to address the immediate concern of difficulty breathing.
Choice B reason:
Stopping the IV infusion is the most critical action the nurse should take first. Difficulty breathing can be a sign of a severe allergic reaction, and if it is related to the IV cefuroxime, stopping the infusion will prevent further administration of the medication and possibly worsening the reaction.
Choice C reason:
Administering epinephrine IM is not the first-line action in this scenario. Epinephrine is used in severe anaphylactic reactions, but it should not be given without a proper evaluation of the situation and a clear indication for its use.
Choice D reason:
Monitoring intake and output is an important nursing intervention, but it is not the priority when the child is experiencing difficulty breathing. Addressing the respiratory distress should be the initial focus to ensure the child's safety and well-being.
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