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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A greenstick fracture involves the bone bending and partially breaking, with one side of the bone being broken and the other side bent.
b. Transverse fracture: A transverse fracture occurs when the bone breaks straight across its long axis, not involving bending.
c. Oblique fracture: An oblique fracture involves a diagonal break, not breaking on one side and bending on the other.
d. Stress fracture: A stress fracture occurs due to repetitive stress on the bone, not involving one side breaking and the other side bending.
Correct Answer is A
Explanation
Nonunion occurs when the fractured bone fails to heal and fuse together despite appropriate treatment. It is associated with persistent pain and limited function.
b. Malunion: Malunion refers to a fracture that heals in an incorrect position or alignment, but it may or may not cause persistent pain and limited function.
c. Delayed union: Delayed union refers to a fracture that takes longer than usual to heal but eventually heals properly. It is not specifically associated with persistent pain and limited function.
d. Osteomyelitis: Osteomyelitis is a bone infection that can develop as a complication of fractures, but it may or may not cause persistent pain and limited function, depending on its severity and treatment response.
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