1. Symptoms of a fracture include a. Edema b. Abnormal limb orientation c. Short

Question

1. Symptoms of a fracture include
a. Edema
b. Abnormal limb orientation
c. Shortening of a limb
d. Lengthening of a limb
e. Crepitus
2. Fracture most related to abuse is?
a. Greenstick
b. Compound
c. Comminuted
d. Spiral
3. Initial treatment for a fracture include all the following except?
a. Elevation
b. Ice
c. Compression
d. pain management
4. Types of traction used to treat a fracture include all the following except
a. Bryant traction
b. Halo traction
c. Bucks traction
d. Belvedere traction
5. Other symptoms of fat embolism include all the following
a. AMS
b. Drowsiness
c. Seizures
d. petechiae
e. Nodular rash
6. Respiratory symptoms of fat embolism include all the following except?
a. Dyspnea
b. creamy frothy sputum
c. hypoxia
d. atelectasis
7. Skeletal traction is applied directly to the bone and uses opposing forces to create the traction. Nursing care of the patient with skeletal traction include
a. All lines be free of tangles.
b. Weight ordered is in continuous use.
c. patient is given a trapeze bar to help mobility in the bed.
d. Linens are changed only as need.
e. Unaffected foot is kept against the footboard.
8. You3 hospitalized patient is exhibiting the symptoms that he is experiencing a fat embolism. Your priority nursing actions is to?
a. administer oxygen.
b. Assessing his vital signs.
c. Notify the health care provider (HCP).
d. Administer IV fluids.
9. Treatment for osteomyelitis include
a. IV antibiotics.
b. Antipyretics.
c. Narcotic pain management
d. Non-weight bearing on the affected limb.
E. Passive ROM on the affected limb.
10. Severe irreversible damage is risked if the pressure is not relieved in 6hours.
A. True
B. False

Explanation / Answer

1. Edema ( due to extravasation of blood from a torn blood vessel), Crepitus ( may be or not), shortening of limb ( In case of bone displacement).

2. Greenstick ( this is a specific child fracture type which most commonly occurs by abuse)

3.Compression ( this is never used initially as this can lead further damage to the broken bone and surrounding tissue)

4. Belvedere traction ( not related to fracture)

5. Nodular rash is not a feature of fat embolism.

6. Creamy frothy sputum. ( in embolism it is pink or red sputum)

7. except d all option is done [a. All lines be free of tangles.b. Weight ordered is in continuous use. c. patient is given a trapeze bar to help mobility in the bed.] ( linens are changed at regular interval to prevent any infection)

8.Administer oxygen( the prime support of embolism is to maintain adequate respiration)

9. all except option d. Non-weight bearing on the affected limb ( this is not always indicated until there is a fracture).

10. True ( 4 -6 hours is time for irreversible damage to tissue)

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