Which nursing intervention is essential for patients with external fixation for fracture management?
Providing passive range of motion exercises
Changing the dressing daily
Loosening the fixation screws every 4 hours
Monitoring pin sites for signs of infection
The Correct Answer is D
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.
Nursing Test Bank
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
X-ray is the most appropriate initial diagnostic study for suspected fractures. It provides clear images of bones and can help identify the presence, location, and extent of the fracture.
b. MRI: MRI is useful for soft tissue imaging, but it may not be the first choice for initial evaluation of fractures. X-rays are more commonly used for immediate assessment.
c. CT scan: CT scan can provide detailed images of bones and soft tissues, but it is not typically the first-line imaging study for fractures. X-rays are more commonly performed first.
d. Ultrasound: Ultrasound is primarily used for imaging soft tissues and may not provide sufficient detail for evaluating fractures. X-rays are more appropriate for initial assessment.
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