Exam 42: Fractures

The nurse would choose the nursing diagnoses with the highest priority after surgery for the open reduction and external fixation of an ankle,which is:

The patient who sustained a simple fracture of the left fibula 7 days earlier asks in what stage of bone healing he might be.The nurse replies that at 7 days,the patient would be in the stage of:

A 78-year-old retired teacher with a history of osteoporosis has fallen in her bathroom and sustained a subcapital femoral fracture.She is scheduled for an open-reduction internal fixation (ORIF)procedure in the morning.The type of traction in which the patient will most likely to be placed is:

When an older woman falls down at church and immediately complains of severe pain in her left hip,the choir director recognizes the cardinal sign of a fractured hip when he sees:

The older patient who sustained a fractured hip and femur in a motor vehicle accident is to be in Russell traction for several weeks; consequently,the nurse will focus care on:

Because the patient has a compound fracture,the nurse should:

In caring for a patient just admitted with a pelvic fracture,the assessment that would cause the most concern is:

The patient with the crushed forearm cannot get pain relief with opioid medications.The injury is swollen,cool,and cyanotic,with weak distal pulses.The nurse assesses that this is a(n):

A patient with bilateral avascular necrosis of the hips is to walk with crutches using a four-point gait for 6 weeks after her bone decompression surgeries.Which statement would indicate that the patient understands this technique?

When the patient with a fractured pelvis says that she will not ambulate because of pain,the nurse cautions that early ambulation will prevent:

The patient has just had a plaster of Paris upper extremity cast placed because of a fractured radius.The statement indicating that the patient understands the discharge teaching related to cast care is:

The properly fitted crutch will be:

In dealing with the weights that are applying traction,the nurse should:

The patient who has osteomyelitis after multiple fractures inquires what the physician meant when he said that surgery would follow the antibiotic therapy.The nurse's most helpful reply is to explain that surgery will be performed to:

Delayed union of a fracture can be attributed to:

The nurse uses a diagram to show the process of a fractured bone healing.(Arrange the options in the appropriate sequence.) A) Ossification B) Hematoma C) Fibrocartilage D) Consolidated E) Callus

When the nurse is told that a patient has a compound comminuted fracture,the nurse is concerned because this type of fracture is one in which the bone is:

Arrange the process of stair climbing with crutches in the correct sequence: A) Body weight is supported with crutches. B) Crutches are moved to the next step. C) Affected leg moves to the next step. D) Unaffected leg is moved to the next step. E) Body weight is transferred to the unaffected leg.

Two days after surgery for a crushed pelvis,the certified nursing assistant (CNA)reports that the patient is complaining of a shortness of breath and is demonstrating signs of confusion and restlessness.The nurse suspects,from these signs alone,that the patient has suffered:

The nurse would teach the older patient with a newly casted Colles fracture to: