What should the nurse assess for in a patient with an open fracture?
Joint range of motion
Neurological function in the unaffected limb
Signs of infection at the fracture site
Quality of pain experienced by the patient
The Correct Answer is C
In a patient with an open fracture (compound fracture), there is a risk of infection due to the exposure of the bone to the external environment. The nurse should assess for signs of infection, such as redness, warmth, swelling, drainage, and increased pain at the fracture site.
a. Assessing joint range of motion is important, but it is not the priority in a patient with an open fracture, where preventing infection is the main concern.
b. Assessing neurological function in the unaffected limb is not directly related to the open fracture and may not be the priority at this time.
d. Assessing the quality of pain experienced by the patient is important for pain management but is not the priority over assessing for signs of infection in an open fracture.
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Related Questions
Correct Answer is C
Explanation
Calcium supplements are commonly prescribed to promote bone healing in patients with fractures. Adequate calcium intake is essential for bone repair and regeneration.
a. Nonsteroidal anti-inflammatory drugs (NSAIDs): NSAIDs may help manage pain and inflammation, but they do not directly promote bone healing and may even inhibit it in some cases.
b. Antibiotics: Antibiotics are prescribed to treat or prevent infection, but they do not play a direct role in bone healing unless an infection is present.
d. Bisphosphonates: Bisphosphonates are used to treat osteoporosis and other bone disorders but are not typically prescribed specifically for fracture healing.
Correct Answer is C
Explanation
X-ray (radiography) is the most common imaging modality used to diagnose fractures in the emergency department. X-rays can visualize the bone's structure and detect fractures, bone displacement, or other abnormalities.
a. Magnetic Resonance Imaging (MRI): MRI is useful for soft tissue evaluation but is not routinely used for initial fracture diagnosis in the emergency department.
b. Computed Tomography (CT): CT scans provide detailed cross-sectional images of bones and soft tissues, but they are not typically the first-line imaging for initial fracture assessment in the emergency department.
d. Ultrasound: Ultrasound is useful for certain soft tissue evaluations but is not commonly used for diagnosing fractures.
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