Fractures 151

Question 1

• What type of fracture -
  -The broken bone pierces the skin, creating an open wound and increasing infection risk.

A. Open
B. Closed
C. Compression
D. Stress
E. Avulsion
F. Greenstick
G. Transverse
H. Communicated
I. Impacted

Answer 1

A

Question 2

• What type of fracture -
  -A small crack in the bone caused by repeated stress or overuse, often seen in athletes.

A. Open
B. Closed
C. Compression
D. Stress
E. Avulsion
F. Greenstick
G. Transverse
H. Communicated
I. Impacted

Answer 2

D

Question 3

• What type of fracture -
  -The bone is shattered into three or more pieces.

A. Open
B. Closed
C. Compression
D. Stress
E. Avulsion
F. Greenstick
G. Transverse
H. Communicated
I. Impacted

Answer 3

H

Question 4

• What type of fracture -
  -The bone bends and cracks on one side but doesn’t break completely through; common in children.

A. Open
B. Closed
C. Compression
D. Stress
E. Avulsion
F. Greenstick
G. Transverse
H. Communicated
I. Impacted

Answer 4

F

Question 5

• What type of fracture -
  -The bone is broken but does not break through the skin.

A. Open
B. Closed
C. Compression
D. Stress
E. Avulsion
F. Greenstick
G. Transverse
H. Communicated
I. Impacted

Answer 5

B

Question 6

• What type of fracture -
  -The break runs straight across the bone, perpendicular to its long axis.

A. Open
B. Closed
C. Compression
D. Stress
E. Avulsion
F. Greenstick
G. Transverse
H. Communicated
I. Impacted

Answer 6

G

Question 7

• What type of fracture -
  -The ends of the broken bone are driven into each other, shortening the bone.

A. Open
B. Closed
C. Compression
D. Stress
E. Avulsion
F. Greenstick
G. Transverse
H. Communicated
I. Impacted

Answer 7

I

Question 8

• What type of fracture -
  -A fragment of bone is pulled off by a tendon or ligament during a sudden, forceful movement.

A. Open
B. Closed
C. Compression
D. Stress
E. Avulsion
F. Greenstick
G. Transverse
H. Communicated
I. Impacted

Answer 8

E

Question 9

• What type of fracture -
  -Bone is crushed, causing it to collapse; commonly seen in vertebrae (spine).

A. Open
B. Closed
C. Compression
D. Stress
E. Avulsion
F. Greenstick
G. Transverse
H. Communicated
I. Impacted

Answer 9

C

Question 10

Match the descriptions with the healings of fractures:
-Takes longer than normal to come together

A. Union
B. Non-union
C. Delayed union
D. Malunion

Answer 10

C

Question 11

Match the descriptions with the healings of fractures:
-Comes back together

A. Union
B. Non-union
C. Delayed union
D. Malunion

Answer 11

A

Question 12

Match the descriptions with the healings of fractures:
-Never comes back together

A. Union
B. Non-union
C. Delayed union
D. Malunion

Answer 12

B

Question 13

Match the descriptions with the healings of fractures:
-Comes back together but is not aligns

A. Union
B. Non-union
C. Delayed union
D. Malunion

Answer 13

D

Question 14

What S/S would lead the nurse to believe her pt has a fracture? (select all)

A. Crepitus
B. +3 pitting edema
C. Loss of function
D. Limb shortening

Answer 14

A
C
D

Question 15

What is an example of internal compartment syndrome?

A. Hydrocephaly
B. +3 pitting edema
C. Blister formation
D. Rhabdomyolysis

Answer 15

D

Question 16

On assessment:
-Pain out of proportion
-Poikilothermia
-Absent distal pulses
What is causing these symptoms?

A. DVT
B. Fat embolism
C. Compartment syndrome
D. Infection

Answer 16

C

Question 17

On assessment:
-SOB
-Petechial rash
-Fever
What is causing these symptoms?

A. DVT
B. Fat embolism
C. Compartment syndrome
D. Infection

Answer 17

B

Question 18

What prevention methods can the nurse recommend to her pt to prevent compartment syndrome?

A. Early ambulation
B. Elevation
C. Ice
D. Anti-inflammatory use

Answer 18

B
C

Question 19

When is it recommended to cast to prevent compartment syndrome?

A. Right away to reduce the risk of swelling and further damage
B. It is applied after the swelling has gone down

Answer 19

B

Question 20

Which pt’s are at the most risk for developing a fat embolism? (select all)

A. Sally, broken L wrist & dislocated shoulder
B. Todd, closed fracture femur
C. Suki, broken pelvis
D. Spiral & open fracture on tibia and fibia

Answer 20

B
C

Question 21

What nursing tasks need to be completed for your pt with a fat embolism from a closed femur fracture? (select all)

A. Supplement O2 or MV
B. Assess skin Q2hr for rash spread
C. Monitor IV fluids
D. Teach coughing and deep breathing exercises
E. Place on NPO for surgery tomorrow morning

Answer 21

A
C
D

Question 22

What treatments can be used prophylactically to reduce the risk of fat embolism? (select all)

A. NSAIDs
B. Early ambulation
C. Corticosteroids
D. Immobilization

Answer 22

C
D

Question 23

What is the nurse’s priority when she notices her pt is diagnosed with a fat embolism?

A. Gather mechanical ventilation equipment to have it ready
B. Call POA to discuss plan of care
C. Administer supplemental O2
D. Neurovascular check

Answer 23

C

• Most will recover with supplemental O2

Question 24

What is the most common infection associated with fractures?

A. C-diff
B. Staphylococcus
C. Pseudomonas
D. Sepsis

Answer 24

B

Question 25

What medications can be used for infections in fractures? (select all) A. NSAIDS B. Antihistamines C. Antipyretics D. Corticosteroids E. Antibiotics

Answer 25

A C E

Question 26

Which nursing action is the nurses priority for her pt post op fracture repair? A. Capillary refill on affected limb B. Pink/Pallor/Cyanotic C. 6 P's neuro assessment D. Turn Q 2hr

Answer 26

C