The nurse caring for a client who has experienced an open fracture of the humerus that is classified as a Grade II is aware that the client: Select all that apply
1. Will be scheduled for an inspection and debridement (I&D) procedure.
2. Has a moderately high risk for developing an infection.
3. Experienced some crushing of the bone.
4. Will require major vascular reconstruction.
5. Has an "inside-out" fracture.
1. Will be scheduled for an inspection and debridement (I&D) procedure.
2. Has a moderately high risk for developing an infection.
3. Experienced some crushing of the bone.
Rationale: Will be scheduled for an inspection and debridement (I&D) procedure. The wound requires a procedure to wash out the contamination; this is commonly referred to as an inspection and debridement (I&D). Has a moderately high risk for developing an infection. An important concept is that all open fractures have the potential to be contaminated. thus increasing the risk of infection. Experienced some crushing of the bone. A Grade II open fracture has a moderately contaminated wound bed and contains a moderate amount of comminution (bone fragments). Will require major vascular reconstruction. Major vascular reconstruction is not typically needed for this injury. Has an "inside-out" fracture. A Grade I open fracture is sometimes referred to as an "inside-out" fracture, while major vascular injury is classified a Grade IIIC.
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The nurse, while conversing with a client, begins to understand the client's perception of the health situation. This awareness is:
a. empathy. b. empowerment. c. acceptance. d. advocacy.