Which complication of fractures requires immediate medical attention?
Swelling and bruising at the fracture site
Mild localized pain with movement
Numbness and tingling distal to the fracture
Stiffness and limited range of motion in nearby joints
The Correct Answer is C
Numbness and tingling distal to the fracture, along with loss of pulses or capillary refill, may indicate neurovascular compromise. This is a serious complication that requires immediate medical attention to prevent potential tissue damage and complications.
a. Swelling and bruising at the fracture site: Swelling and bruising are common signs of inflammation and injury at the fracture site but do not require immediate medical attention unless accompanied by other concerning symptoms.
b. Mild localized pain with movement: Mild localized pain with movement is expected with a fracture and is not as concerning as neurovascular compromise.
d. Stiffness and limited range of motion in nearby joints: Stiffness and limited range of motion may occur after a fracture but are not as urgent as neurovascular compromise.
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Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is C
Explanation
Checking peripheral pulses is an essential part of the nursing assessment for a patient with a suspected fracture, especially in the extremity near the fracture site. It helps monitor circulation and ensures adequate blood flow to the injured area.
a. Assessing cognitive function: Assessing cognitive function is important for patients' overall health, but it is not directly related to a suspected fracture assessment.
b. Measuring blood pressure: Measuring blood pressure is part of the routine nursing assessment but is not specific to a suspected fracture.
d. Evaluating liver function: Evaluating liver function is not directly related to the assessment of a suspected fracture.
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