Which clinical manifestation is common in a closed fracture?
Bone fragments protruding through the skin
Visible deformity at the fracture site
Intense localized pain and tenderness
Open wound with bleeding at the fracture site
The Correct Answer is C
In a closed fracture, where the skin remains intact over the fractured bone, intense localized pain and tenderness at the fracture site are common symptoms. The skin acts as a barrier, preventing bone fragments from protruding through the skin.
a. Bone fragments protruding through the skin: This symptom is associated with an open or compound fracture, where the bone pierces through the skin.
b. Visible deformity at the fracture site: Visible deformity may occur in both closed and open fractures, but it is not specific to closed fractures.
d. Open wound with bleeding at the fracture site: An open wound with bleeding is characteristic of an open or compound fracture, not a closed fracture.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The patient should be instructed not to cover the cast with plastic when bathing or swimming, as moisture can weaken the cast and increase the risk of skin irritation and infection. The cast should be kept dry to maintain its structural integrity.
b. Applying heat directly to the cast to speed up drying is not recommended, as excessive heat can lead to discomfort and skin irritation. The cast should be air-dried or gently patted dry with a towel.
c. Using cotton swabs to clean the skin under the cast can introduce fibers into the cast and potentially irritate the skin. The nurse should advise the patient not to insert anything under the cast.
d. Keeping the cast exposed to air for long periods may lead to dirt and debris getting trapped in the cast and increasing the risk of infection. The patient should be cautious and avoid exposing the cast to dirt and contaminants.
Correct Answer is C
Explanation
Stress fractures are small, hairline cracks in the bone that occur due to repetitive stress or overuse. They typically present with a gradual onset of localized pain that worsens with activity.
a. Severe pain and visible deformity: Severe pain and visible deformity are more commonly seen in acute fractures resulting from trauma or high-impact injuries, not stress fractures.
b. Sudden onset of swelling and bruising: Sudden onset of swelling and bruising is more indicative of acute fractures, not stress fractures.
d. Inability to bear weight on the affected limb: Inability to bear weight may be present in some fractures, but it is not a specific characteristic of stress fractures.
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