Which assessment finding is indicative of a possible fracture?
Localized swelling and bruising
Warmth and redness at the site
Absence of pain with movement
Increased range of motion at the joint
The Correct Answer is A
Localized swelling and bruising are common signs of inflammation and injury at the fracture site. They may indicate the presence of a fracture, especially if the patient experienced trauma or a fall.
b. Warmth and redness at the site: Warmth and redness are signs of inflammation, but they are not specific to fractures and can occur in various musculoskeletal conditions.
c. Absence of pain with movement: Absence of pain with movement is not a typical finding in fractures. Fractures usually cause pain, especially with movement.
d. Increased range of motion at the joint: Increased range of motion may occur in some injuries, but it is not a reliable indicator of a fracture, especially if there is swelling and bruising present.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A closed fracture is a fracture where the skin remains intact over the fractured bone, and there is no open wound at the site of the fracture.
a. A fracture where the bone breaks through the skin: This type of fracture is known as an open or compound fracture, where the bone pierces through the skin.
b. A fracture where the bone is out of alignment: This type of fracture is known as a displaced fracture, where the bone fragments are not aligned properly.
c. A fracture where the bone is completely broken in two: A complete fracture refers to a fracture that results in two separate bone fragments, but it does not necessarily involve the skin.
Correct Answer is D
Explanation
Patients with external fixation require close monitoring of the pin sites for signs of infection, as they are at risk of developing pin site infections.
a. Providing passive range of motion exercises: Passive range of motion exercises may be appropriate in some cases, but they are not specific to external fixation management.
b. Changing the dressing daily: Dressing changes for external fixation are typically done as instructed by the healthcare provider, which may not necessarily be daily.
c. Loosening the fixation screws every 4 hours: Fixation screws should not be loosened without proper medical guidance, as this can compromise the stability of the external fixation device.
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