Chapter 43 Management of Patients with Musculoskeletal Trauma QUIZ

12. One side of a bone is broken and the other side is bent:

green stick

A patient sustained an open fracture of the femur 24 hours ago. While assessing the patient, the nurse observes the patient is having difficulty breathing, and oxygen saturation decreases to 88% from a previous 99%. What does the nurse understand is most likely occurring with this patient?

Fat emboli

4. The residual limb should never be placed on a pillow to avoid:

Flexion or contracture of the hip

The nurse is caring for a patient who sustained an open fracture of the right femur in an automobile accident. What does the nurse understand is the most serious complication of an open fracture?

Infection

5. Joint dislocation can lead to avascular necrosis if it is not treated. What is avascular necrosis?

Tissue death due to anoxia and diminished blood supply

14. A patient had an above-the-knee amputation of the left leg related to complications from PVD. The nurse enters the patient's room and observes the dressing and bed covers saturated with blood. What is the first action by the nurse?

Apply a tourniquet.

9. A break that occurs across the entire section of bone is called:

Complete

15. A patient sustains an open fracture of the left arm after an accident at the roller skating rink. What does emergency management of this fracture involve? (Select all that apply).

Covering the area with a clean dressing if the fracture is open. Immobilizing the affected site Splinting the injured limb

2. The most common complication of hip fractures in the elderly is

DVT

List three early and serious complications associates with bed rest and reduced skeletal muscle contractions for a patient with an open fracture:

DVT, thromboembolism, pulmonary embolus

A patient has suffered a femoral shaft fracture in an industrial accident. What is an immediate nursing concern for this patient?

Hypovolemic shock

6. Name three early complications of fractures:

Shock, fat embolism, compartment syndrome, DVT, thromboembolism, infection

The nurse is caring for a patient with a pelvic fracture. What nursing assessment for a pelvic fracture should be included? (Select all that apply).

Checking the urine for hematuria Palpating peripheral pulses in both lower extremities Testing the stool for occult blood

1. The most common fracture of the distal radius is:

Colle's fracture

11. Bone is splintered into several fragments:

communited

13. A fracture that occurs through the epiphysis:

epiphyseal

7. Name three late complications of fractures:

Delayed union; non-union, avascular necrosis of bone, reaction to internal fixation

While riding a bicycle on a narrow road, the patient was hit from behind and thrown into a ditch, sustaining apelvic fracture. What complications does the nurse know to monitor for that are common to pelvic fractures?

Hemorrhage and shock

A patient falls while skiing and sustains a supracondylar fracture. What does the nurse know is the most serious complication of a supracondylar fracture of the humerus?

Volkmann's ischemic contracture

3. Common pulmonary complications for the elderly following a hip fracture are:

atelectasis and pneumonia

10. A fragment of the bone is pulled off by a ligament or tendon:

avulsion