Fracture and osteoporosis
The nurse is caring for patient with a hip fracture. The physician orders the patient to start on a bisphosphonate. Which medication would the nurse document as given?
Alendronate (Fosamax)
A patient is transported to the ED for a femur fracture following a motor vehicle crash. What action by the nurse is the highest priority?
Assess vital signs and level of consciousness.
Which of the following is described as a condition that occurs from interruption of the blood supply to the fracture fragments after which the bone tissue dies, most commonly in the femoral head?
Avascular necrosis
Statement indicates client understands proper care of the cast when he says he must
Avoid getting the cast wet
What food can the nurse suggest to the client at risk for osteoporosis?
Broccoli
Which group is at the greatest risk for osteoporosis?
Caucasian women
Which of the following terms refers to a break in the continuity of a bone?
Fracture
An x-ray of a boys 4 arm shows a small ulnar fracture what type of fracture is this?
Green stick
The type of fracture described as having one side of the bone broken and the other side bent would be
Greenstick
Which of the following terms refers to a fracture in which one side of a bone is broken and the other side is bent?
Greenstick
Indicative sign of infection under a cast -
Hot spot on the cast
The acronym RICE stands for which of the following combinations of treatment?
Rest, ice, compression, elevation
What is a major complication of osteoporosis that patients should be aware of when getting discharged?
Risk of bone fracture (who most at risk- little old ladies)
Least concerned with what finding of pin fracture -
Serous drainage
Nurse witnessed vehicle hit pedestrian at low speed , pt tries to get up but the leg appears fractured, nurse should -
Stay with victim encourage person to remain still
Which instruction about taking a calcium supplement should the nurse include?
Take the supplement with meals or with orange juice
The nurse teaches the patient with a high risk for osteoporosis about risk-lowering strategies including which of the following actions?
Walk or perform weight-bearing exercises
The nurse teaches the patient with a high risk for osteoporosis about risk-lowering strategies including which of the following actions?
Walk or perform weight-bearing exercises outdoors
discharge teaching regarding exercise for a client at risk for osteoporosis. Which of the following exercises would be appropriate?
Walking
The nurse is educating a group of women on the prevention of osteoporosis. What statement made by the pt is true
We need an adequate amount of exposure to sunshine
Which of the following clinical manifestations would the nurse expect to find in a client who has had osteoporosis for several years?
Decreased height
An x-ray demonstrates a fracture in which the fragments of bone are driven inward. This type of fracture would be which of the following?
Depressed
The nurse recognizes that primary prevention of osteoporosis includes:
Ensuring adequate calcium and vitamin D intake
Which type of fracture occurs when a bone fragment is driven into another bone fragment?
Impacted
Which type of fracture involves a break through only part of the cross-section of the bone?
Incomplete
A patient suffered an open fracture to the left femur during a horseback riding accident. For which of the following complications is this patient at highest risk?
Infection
Closed fracture with cast intense pain, elevated ice and analgesic with no relief. What may be causing it-
Impaired tissue perfusion
A 78-year-old client is in the emergency department following involvement in a motor vehicle collision. Radiographs indicate a fractured humerus; the client is awaiting the casting of her upper extremity and admission to the orthopedic unit. What is the primary treatment for musculoskeletal trauma?
Immobilization
What two nutrients important in preventing osteoporosis?
Calcium and vitamin D
Which type of fracture produces several bone fragments?
Comminuted
In a patient with a dislocation, the nurse should initially perform neurovascular assessments a minimum of every 15 minutes until stable. Which of the following complications do the assessments help the nurse to monitor in the patient?
Compartment syndrome
A patient had a cast placed on their forearm four hours ago, pain is not helped by analgesic. What does the nurse suspect is happening and what will happen next?
Compartment syndrome, take cast off fasteotomy
Which assessment findings would cause the nurse to suspect compartment syndrome after casting of the leg?
Complaints of numbness and tingling in toes of affected leg
Which of the following type of fracture is associated with osteoporosis?
Compression
A client presents to the emergency department with an open fracture. What is the first action the nurse should take?
Cover the exposed bone with sterile dressing.
What is a priority concern of patients with an open fracture?
Infection
Pt gets a plaster cast to right forearm, what should the nurse tell him when going home
Keep cast clean and dry Keep elevated Allow 48-72 hrs to dry
Which of the following is an inaccurate clinical manifestation of a fracture?
Lengthening
Which of the following terms refers to failure of fragments of a fractured bone to heal together?
Nonunion
Which of the following is a hallmark sign of compartment syndrome?
Pain
