Practice questions Fractures and hip fractures – Flashcards

A patient has sustained a long bone fracture. The nurse is preparing a care plan for this patient. Which nursing action should the nurse include in the care plan to enhance fracture healing? A) Limit weight-bearing and exercising during the recovery. B) Monitor color, temperature, and pulses of the affected extremity. C) Avoid prolonged immobilization of the fracture fragments. D) Administer high doses of corticosteroids.

A patient asks the nurse why his hip fracture (head of the femur) bone has died (osteonecrosis). The nurse responds based on which of the following pathophysiological principles? A)All fractured bones interrupt blood supply and thereby results in death of the bone no matter where it is located. B)Most of the time when the head of the femur breaks, the entire neck region is disconnected to the rest of the bone so the blood vessels are severed. C)Since the head of the femur has only limited collateral circulation, interruption in the blood flow from the fracture causes necrosis and irreversible damage. D)When the femur head breaks, it dislocates and crushes the surrounding area causing the blood vessels to be occluded.

The nurse is providing care to a patient with a fractured femur who is in traction. Which nursing intervention is the highest priority for the nurse to implement? a. Increase daily fluid intake. b. Weigh patient each morning. c. Teach patient to cough and deep breathe. d. Teach patient to cover mouth when coughing.

After teaching a client with a fractured humerus, the nurse assesses the client's understanding. Which dietary choice demonstrates that the client correctly understands the nutrition needed to assist in healing the fracture? a. Baked fish with orange juice and a vitamin D supplement b. Bacon, lettuce, and tomato sandwich with a vitamin B supplement c. Vegetable lasagna with a green salad and a vitamin A supplement d. Roast beef with low-fat milk and a vitamin C supplement

The nurse clarifies that in a greenstick fracture, the: 1. line of the fracture goes across the bone in right angles to the longitudinal axis. 2. periosteum is not torn away from the bone. 3. fracture is incomplete and one side is bent. 4. fracture occurred in one of the long bones of the body.

While teaching a group of student nurses about different types of fractures, the nursing instructor says, "This fracture is characterized by the crushing of cancellous bone." Which type of fracture is the nursing instructor describing? 1. Complete 2. Transverse 3. Comminuted 4. Compression

A client sustained multiple fractures in a motor vehicle accident. The nurse determines that the client is at a high risk for osteomyelitis due to which type of fracture? A) Avulsion B) Open C) Comminuted D) Depression

An appropriate goal for the patient who is postoperative day one from a hip fracture with the nursing diagnosis Impaired physical mobility is: a.the patient will interact with others. b. the patient will ambulate to the bathroom with assistance. c. the patient will have no skin breakdown. d. the patient will have a physical therapy consult.

Allison has fractured her left tibia. The nurse should assess which of the following? Select all that apply. 1. Skin color distal to the fracture 2. Pain in the extremity 3. Pulses distal to the fracture 4. Paresthesia proximal to the fracture 5. Paralysis proximal to the fracture

When assessing the trauma victim, the nurse evaluates the patient for fractured ribs and a scapular fracture. These disorders can lead to A) subluxation of the shoulder. B) possible pulmonary contusion. C) deep vein thrombosis. D) disseminated intravascular coagulation.

A nurse cares for a client with a fracture injury. Twenty minutes after an opioid pain medication is administered, the client reports pain in the site of the fracture. Which actions should the nurse take? (Select all that apply.) a. Administer additional opioids as prescribed. b. Elevate the extremity on pillows. c. Apply ice to the fracture site. d. Place a heating pad at the site of the injury. e. Keep the extremity in a dependent position.

The nurse is providing care for a client who experienced a fracture requiring a plaster cast. Which nursing intervention is appropriate for this client? A) Prescribing opioid pain medication B) Assessing neurovascular status C) Discouraging client ambulation D) Encouraging the client to keep the cast damp

The orthopedic nurse is caring for a client diagnosed with a fracture of the radius. When the nurse is considering all of the various types of bone fractures, which bone type is most anticipated? A) Collagen B) Cortical C) Cancellous D) Cartilage

When a patient recovering from a fractured tibia asks what callus formation is, the nurse tells her it is: a. when blood vessels of the bone are compressed. b. a part of the bone healing process after a fracture when new bone is being formed over the fracture site. c. the formation of a clot over the fracture site. d. when the hematoma becomes organized and a fibrin meshwork is formed

The nurse explains to a client with delayed union of a fractured femur that treatment for this complication is based on a. finding and correcting the cause. b. physical therapy using deep-heat modalities. c. realigning the fracture with traction. d. stabilizing the fracture with a metal plate.

A patient who sustained a simple fracture of the left fibula 7 days earlier asks in what stage of bone healing he might be. What stage of healing should the nurse relay to the patient? a. Hematoma formation b. Ossification c. Callus formation d. Fibrocartilage formation

The nurse is rounding on assigned orthopedic clients. The client with which type of fracture requires immediate interventions to prevent infection? a. Fractured clavicle b. Open fracture of the tibia c. Simple fracture of the wrist d. Compression fracture of a vertebra

A patient fell 2 days ago; he has a compound fracture of his left tibia. The physician performed an open reduction with internal fixation (ORIF) to treat the fracture. An important nursing assessment for him would include