What is a crucial aspect of patient education about weight-bearing status after a fracture?
Encouraging immediate full weight-bearing on the affected limb.
Explaining the importance of partial weight-bearing on the affected limb.
Advising the patient to avoid putting any weight on the affected limb.
Instructing the patient to use assistive devices only during walking.
The Correct Answer is B
It is crucial for the patient to understand the importance of partial weight-bearing on the affected limb during the healing process. Partial weight-bearing helps promote bone healing and prevents excessive stress on the fracture site, reducing the risk of complications.
a. Encouraging immediate full weight-bearing on the affected limb can lead to further damage to the healing bone and may delay the healing process.
c. Advising the patient to avoid putting any weight on the affected limb can result in muscle atrophy, decreased circulation, and joint stiffness. Some weight-bearing is necessary for proper bone healing.
d. Instructing the patient to use assistive devices only during walking is not enough to ensure appropriate weight-bearing. The patient should follow specific weight-bearing restrictions as advised by the healthcare provider, even when using assistive devices.
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Related Questions
Correct Answer is C
Explanation
In a greenstick fracture, the bone bends and partially breaks, usually occurring in children due to the flexibility of their bones.
a. Transverse fracture: A transverse fracture occurs when the bone breaks straight across its long axis, not bending.
b. Oblique fracture: An oblique fracture involves a diagonal break, not bending and partial breaking.
d. Avulsion fracture: An avulsion fracture occurs when a piece of bone is torn away by a ligament or tendon, not bending and partial breaking.
Correct Answer is D
Explanation
: Educating the patient about signs of neurovascular compromise, such as changes in sensation, color, or temperature of the limb, is essential to ensure early detection of potential complications and timely intervention.
a. Encouraging the patient to bear full weight on the cast immediately is not recommended, as weight-bearing should follow the healthcare provider's instructions, which may involve partial weight-bearing initially.
b. Instructing the patient to elevate the casted limb above the heart can help reduce swelling but may not be the primary focus of discharge teaching for a newly applied cast.
c. Advising the patient to use a heating pad on the cast to relieve discomfort is not recommended, as excessive heat can damage the cast and increase the risk of skin irritation.
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