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6 the nurse should instruct a patient with a

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6. The nurse should instruct a patient with a nondisplaced fractured left radius that the cast will need toremain in place for what amount of time?b. At least six weeksBone healing starts immediately after the injury, but because ossification does not begin until 3 weeksafter injury, the cast will need to be worn for at least 3 weeks. Complete union may take up to 1 year.Resolution of swelling does not indicate bone healing.7. The nurse is caring for a patient who has a pelvic fracture and an external fixation device. How shouldthe nurse perform assessment of pressure areas and provide skin care to the patient’s back and sacrum?c. Have the patient lift the back and buttocks using a trapeze.The patient can lift the back slightly off the bed by using a trapeze. The patient may find it very difficultto turn to the side without assistance while in a fixator device. Delaying assessment and skin care may
put the patient at risk for an undetected pressure injury. Pushing on the patient’s hips may causeadditional injury.8. Which patient statement indicates understanding of the nurse’s teaching about a new short-armsynthetic cast?c. “I will apply an ice pack to the cast over the fracture site off and on for 24 hours.”Ice application for the first 24 hours after a fracture will help reduce swelling and can be placed over thecast. The cast is typically removed in the outpatient setting. The patient should be encouraged to movethe joints above and below the cast. Patients should not insert objects inside the cast.9. A patient who is to have no weight bearing on the left leg is learning to use crutches. Whichobservation by the nurse indicates the patient can safely ambulate independently?b. The patient advances the left leg and both crutches together and then advances the right leg.Patients are usually taught to move the crutches and the injured leg forward at the same time and thento move the unaffected leg. If the 2- or 4-point gait is to be used, the crutch and leg on opposite sidesmove forward, not the crutch and same-side leg. Patients are discouraged from using furniture to assistwith ambulation. The patient is taught to place weight on the hands, not in the axilla, to avoid brachialplexus damage.10. A patient who had open reduction and internal fixation (ORIF) of left lower leg fractures continues toreport severe pain in the leg 15 minutes after receiving the prescribed IV morphine. The nursedetermines pulses are faintly palpable and the foot is cool to the touch. Which action should the nursetake next?a. Notify the health care provider.The patient’s clinical manifestations suggest compartment syndrome and delay in diagnosis andtreatment may lead to severe functional impairment. The data do not suggest problems with bloodpressure or infection. Elevation of the leg will decrease arterial flow and further reduce perfusion.

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