NUR 211 Fractures - Which question should the nurse consider to hel...

NUR 211 Fractures

• A 7-year-old child is admitted with a fractured skull. The admitting nurse suspects abuse.

Which question should the nurse consider to help determine if this is an abusive injury?

Answer Does the story match the injury?

• The nurse is assessing a patient who was admitted to the emergency department for a pelvic

fracture. After receiving care from the nurse for a couple of hours, the patient reports shortness of breath. Which complication should the nurse suspect?

Answer Fat embolism

rationale A fat embolism occurs when fat globules released by injured tissue lodge in the pulmonary vasculature, resulting in dyspnea.

• An athlete reports pain in their foot during running, but denies any trauma or known injury.

Which type of fracture should the nurse suspect has occurred?-

Answer Stress

rationale A stress fracture is caused by small repetitive forces on the bone that often result from participation in sports or exercise.

• A patient with a fracture received pain medication after the application of a right leg cast.

Which patient statement indicates a complication and requires immediate notification to the healthcare provider?

Answer "The pain is worse than it was before the pain medication."

• A pediatric patient with a suspected arm fracture is brought to the emergency department

by emergency medical service personnel who has already applied a splint. Which intervention will be done initially to evaluate the in- jury?

Answer Removing the splint 1 / 2

rationale A splint is an emergency measure that is used to stabilize fresh injuries and reduce mobility. It is removed to perform diagnostic tests on an injured limb to see if further treatment is necessary

• The nurse is teaching a patient with a fractured femur about the differences between opioids

and nonsteroidal anti-inflammatory drugs (NSAIDs). Which statement by the patient demonstrates an understanding of the teaching?

Answer

• "The NSAID will help with both pain and inflammation."

• The nurse is caring for a patient who is two days' postoperative from surgery to repair a

fractured femur. The patient says, "I am tired of lying in this bed; I am so uncomfortable." Which is the appropriate intervention by the nurse at this time?

Answer Assisting the patient in moving to the chair to elevate the extremity

• The nurse is teaching an older adult patient who fell and sustained a femur fracture how to

prevent future falls at home. Which statement should be included in the teaching?

Answer "Avoid using throw rugs, especially on smooth, slick surfaces."

• The nurse is teaching a patient with a cast about symptoms to monitor after discharge.

Which statement by the patient reflects an understanding of complications associated with a cast?

Answer "Numbness and tingling should be reported immediately."

• The nurse is teaching a patient about cast care at home. Which instruction should the

nurse include in the teaching?

Answer "If severe itching occurs, use a blow dryer on a cool setting."

• A patient who is concerned about a deformity resulting from an oblique fracture of the

femur states, "I can't believe that one leg is shorter than the other now. I look so strange!" Physical assessment by the nurse reveals normal findings, except for the shortened leg.The nurse

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