The nurse is caring for a patient who has a grade II open fracture of the humerus
The nurse plans care for this patient based on which understanding? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Some crushing of the bone has occurred.
2. Major vascular reconstruction will be required.
3. There is a moderately high risk for developing an infection.
4. The patient has an "inside-out" fracture.
5. An inspection and debridement (I&D) procedure will be required.
1,3,5
Rationale 1: A grade II open fracture has a moderately contaminated wound bed and contains a moderate amount of comminution (bone fragments).
Rationale 2: If major vascular reconstruction is required, grade III is assigned.
Rationale 3: All open fractures have the potential to be contaminated, thus increasing the risk of infection.
Rationale 4: A grade I open fracture is sometimes referred to as an "inside-out" fracture.
Rationale 5: The wound requires a procedure to wash out the contamination; this is commonly referred to as an inspection and debridement (I&D).
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