Following a fracture, the nurse is educating the client and his family about bone healing. The nurse begins by stating:
A) "In order to initiate the cellular events essential to bone healing, within a day or so, your body will develop a blood clot at the fracture site."
B) "The first thing that will happen is your body will form a soft tissue callus around the fracture site."
C) "Your body will first absorb any excess bone fragments that occurred as a result of the break."
D) "Just like on your hands after hard work, your body will begin the healing process by forming a callus at the fracture site."
Ans: A
Feedback:
There are essentially four stages involved in bone healing: hematoma formation, fibrocartilaginous callus development, ossification, and remodeling. Hematoma formation is thought to be necessary for the initiation of the cellular events essential to bone healing. As the result of hematoma formation, clotting factors remain in the injured area to initiate the formation of a fibrin meshwork, which serves as a framework for the growth of fibroblasts and new capillary buds.
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