When assessing a patient with a fracture, what is the priority nursing consideration?
Monitoring the patient's pain level
Assessing the neurovascular status of the affected limb
Evaluating the range of motion in nearby joints
Instructing the patient about cast care
The Correct Answer is B
Assessing the neurovascular status of the affected limb is the priority nursing consideration in a patient with a fracture. Checking for pulses, capillary refill, sensation, and motor function helps identify neurovascular compromise, which requires immediate intervention to prevent potential tissue damage and complications.
a. Monitoring the patient's pain level is essential, but it is not the priority over assessing neurovascular status. Pain management can be addressed after ensuring the limb's vascular and neurological integrity.
c. Evaluating the range of motion in nearby joints is important for overall assessment, but it is not as critical as assessing neurovascular status in a patient with a fracture.
d. Instructing the patient about cast care is necessary, but it is not the priority consideration when the patient's neurovascular status is at risk.
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Related Questions
Correct Answer is A
Explanation
Early ambulation (walking) is important for preventing complications such as deep vein thrombosis (DVT) and muscle atrophy in patients with lower extremity fractures.
b. Bed rest for 24 hours: Prolonged bed rest can lead to complications such as muscle weakness, DVT, and pressure ulcers. Early ambulation is preferred to prevent these issues.
c. Avoidance of pain medication: Pain management is essential for patient comfort and mobility. Avoiding pain medication may hinder early ambulation and delay recovery.
d. Delayed wound dressing changes: Appropriate wound care is crucial for preventing infection and ensuring proper healing. Delayed wound dressing changes may increase the risk of infection.
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.
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