A high school football player injured his wrist in a game. He is tender between the two tendons at the base of the thumb. Which of the following should be considered?
A) DeQuervain's tenosynovitis
B) Scaphoid fracture
C) Wrist sprain
D) Rheumatoid arthritis
B) Scaphoid fracture
The “anatomic snuffbox” is found between the extensor and abductor tendons at the base of the thumb. Tenderness should make one think of a scaphoid fracture. Not only is this the most common carpal bone injury, but the poor blood supply puts the bone at risk for avascular necrosis when injured. This fracture is commonly missed on x-ray, so this is an important physical finding to support further or repeated studies.
You might also like to view...
During World War II, Florence Nightingale became appalled at conditions on the battlefield and introduced sweeping changes to the profession of nursing
Indicate whether the statement is true or false
The nurse is caring for a patient with MODS secondary to septic shock whose urine output was 10 mL for the last 2 hours. Temperature is 97 degrees, pulse is 124 and thready, and BP is 88/48. Which order is the current priority?
1. Place the patient on a warming blanket. 2. Administer isotonic fluids at 20 mL/kg/hr. 3. Draw blood for BUN and creatinine. 4. Place the patient in a kinetic bed.
A public health staff nurse who has a clear understanding of population-focused practice:
a. Is frustrated providing care to individuals b. Would rather perform population-focused interventions c. Is able to improve the effectiveness of care provided d. Is considered a public health nurse specialist
How would you justify that a nursing theory is, in fact, a middle-range nursing theory? (Select all that apply.)
a. It is simple, clear, generalizable, and accessible. b. It focuses on answering specific nursing practice questions. c. It predicts the effects of one phenomenon on another. d. It explains relationships. e. It is built on several important adapted scientific theories.