What is an essential nursing consideration for a patient with a suspected fracture before moving or handling the affected limb?
Explaining the importance of immobilization to the patient
Applying a splint or cast to the affected limb
Assessing for any signs of neurovascular compromise
Administering analgesics for pain relief
The Correct Answer is C
Before moving or handling the affected limb, the nurse must assess for any signs of neurovascular compromise, such as changes in pulses, capillary refill, sensation, and motor function. This assessment helps identify potential vascular or nerve injuries and guides appropriate care to prevent complications.
a. Explaining the importance of immobilization to the patient is important but is not directly related to assessing for neurovascular compromise before moving the limb.
b. Applying a splint or cast to the affected limb is typically done after the initial assessment and diagnosis of the fracture, not before handling the limb.
d. Administering analgesics for pain relief is important, but it does not directly relate to assessing for neurovascular compromise before moving the limb.
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Related Questions
Correct Answer is C
Explanation
In a comminuted fracture, the bone is broken into multiple pieces, which may require more complex treatment and longer healing time.
a. Greenstick fracture: A greenstick fracture involves the bone bending and partially breaking, commonly seen in children. It does not result in multiple pieces.
b. Transverse fracture: A transverse fracture occurs when the bone breaks straight across its long axis, but it does not involve multiple pieces.
d. Spiral fracture: A spiral fracture is characterized by a twisting or spiraling break along the bone, but it does not result in multiple pieces.
Correct Answer is A
Explanation
The patient should be instructed not to cover the cast with plastic when bathing or swimming, as moisture can weaken the cast and increase the risk of skin irritation and infection. The cast should be kept dry to maintain its structural integrity.
b. Applying heat directly to the cast to speed up drying is not recommended, as excessive heat can lead to discomfort and skin irritation. The cast should be air-dried or gently patted dry with a towel.
c. Using cotton swabs to clean the skin under the cast can introduce fibers into the cast and potentially irritate the skin. The nurse should advise the patient not to insert anything under the cast.
d. Keeping the cast exposed to air for long periods may lead to dirt and debris getting trapped in the cast and increasing the risk of infection. The patient should be cautious and avoid exposing the cast to dirt and contaminants.
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