NUR 1024: NCLEX QUESTIONS ON FRACTURES 2023/2024 LATEST UPDATE VERIFIED GUARANTEED PASS

NUR 1024: NCLEX QUESTIONS ON FRACTURES 2023/2024 LATEST UPDATE VERIFIED GUARANTEED PASS A client fell off a ladder and the healthcare provider suspects a fracture of the right wrist. Which manifestation should the nurse anticipate observing in the client? (Select all that apply.) A. Crepitus B. Visi ble deformity C. Pain D. Cyanosis of nail beds E. Absence of radial pulse Answer: A, B, C Rationale: The manifestations of a fracture include visible deformity, swelling, pain, numbness, crepitus, hypovolemic shock, muscle spasms, or ecchymosis. A co mplication of a fracture, compartment syndrome, may occur if pressure from edema builds within the fascia, leading to decreased blood flow and potential muscle and nerve damage. Neurovascular changes may be noted when this occurs which can include absen ce of pulse and cyanosis of the nail beds. Which statement by the nurse describes a comminuted fracture to the client? A. The ends of the broken bones are forced together." B. The bone is breaking through the skin." C. The bone is broken into many pieces." D. A fragment of the bone is separated from the rest of the bone." Answer: C Rationale: In a comminuted fracture, the bone is broken into many pieces. The bone fragments may cause further injury or complications. An open or compound fracture involv es bone breaking through the skin. An avulsion fracture involves a fragment of bone being separated from the rest of the bone. In an impacted or buckle fracture, the ends of the broken bones are forced together. Which client should the nurse identify to b e at a greater risk of fractures while reviewing their health records? (Select all that apply.) A. The client with leukemia B. The client with bone neoplasms C. The client who is malnourished D. The client with osteoporosis E. The client with hypercalcem ia Answer: B, C, D Rationale: The primary risk factors associated with bone fractures are age, presence of bone disease, bone cancer, and poor nutrition. Leukemia and hypercalcemia are not risk factors for fractures. A client is recovering from a fractu red radius that occurred 7 weeks ago. Which process of bone healing should the nurse anticipate the client to be experiencing? A. Reparative phase B. Remodeling phase C. Inflammatory phase D. Bony union phase Answer: A Rationale: The three stages of fracture healing are inflammatory, reparative, and remodeling. In the reparative phase, fibrocartilage forms a soft callus that joins the fractured bone. This phase usually lasts about 6 -8 weeks after the fracture occurs. Bone union is a process that occurs and is not a phase of healing. Which statement concerning bone fractures is correct? (Select all that apply.) A. "Bone fractures do not result from low bone density." B. "Bone fractures may result from repetitive forces or twisting." C. "A bone fracture can be the direct result of excess pressure in the fibrous membrane or fascia." D. "Diseases such as neoplasms do not cause bone fractures." E."The severity of a b one fracture depends on the force of the action against the bone and bone strength." Answer: B, E Rationale: The severity of a bone fracture depends on the force of the action against the bone and bone strength. Bone fractures may result from repetitive forces like running, twisting, or a direct blow to the bone. Low bone density is often a precursor to a fracture. Diseases such as neoplasms (bone cancer) or osteoporosis may weaken the bones and result in fractures. It is compartment syndrome, not a bo ne fracture, which occurs when excess pressure in the space enclosed by the fascia constricts structures within the compartment, reducing circulation to muscles and nerves. The nurse is providing discharge teaching to the family of an older adult client who was treated for a fracture after a fall. Which recommendation should the nurse include in the teaching? A. Always wear socks when ambulating. B. Use a step stool when possible. C. Start a mild exercise program. D. Remove the rubber mat from tub. Answe r: C Rationale: A mild exercise program may help to improve balance and strength. The client should wear shoes with nonslip soles when ambulating to prevent falls; socks may cause the client to slip. Use of a step stool should be avoided. Rubber mats are helpful to prevent slipping in the tub.