What nursing intervention should be implemented for a patient with a fractured extremity before applying a cast?
Elevate the extremity to reduce swelling.
Apply ice packs to the fracture site.
Administer analgesics to manage pain.
Obtain baseline neurovascular assessment.
The Correct Answer is D
Before applying a cast, the nurse should obtain a baseline neurovascular assessment of the extremity to establish normal function. This assessment will serve as a reference for comparison throughout the cast's application and during the healing process.
a. Elevating the extremity to reduce swelling is a valuable intervention but is not directly related to applying a cast. It can be performed later as part of post-cast application care.
b. Applying ice packs to the fracture site can help reduce swelling and pain but is not a step in preparing for the cast application.
c. Administering analgesics to manage pain is important, but obtaining a baseline neurovascular assessment is the priority before applying a cast.
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Related Questions
Correct Answer is B
Explanation
Regular exercise is not considered a risk factor for fractures. In fact, regular exercise, especially weight-bearing activities, can help improve bone density and reduce the risk of fractures.
a. Advanced age: Advanced age is a significant risk factor for fractures, as bone density tends to decrease with age, making bones more susceptible to fractures.
c. Osteoporosis: Osteoporosis is a condition characterized by low bone density and increased risk of fractures, particularly in postmenopausal women and older adults.
d. History of previous fractures: Having a history of previous fractures is considered a risk factor, as it may indicate underlying bone fragility and susceptibility to future fractures.
Correct Answer is B
Explanation
A fracture is a break in the continuity of a bone, resulting from excessive force or stress applied to the bone. It is different from a dislocation, which involves the displacement of bone from its normal position at a joint.
a. A dislocation of a joint: A dislocation involves the displacement of bone from its normal position at a joint and is not the same as a fracture.
c. A stretching or tearing of ligaments: A stretching or tearing of ligaments is known as a sprain, not a fracture.
d. A separation of bone fragments at a joint: This description is more in line with a dislocation, where the bone separates from its normal position at a joint.
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