The nurse is rounding on assigned orthopedic clients. The client with which type of fracture requires immediate interventions to prevent infection?
a. Fractured clavicle
b. Open fracture of the tibia
c. Simple fracture of the wrist
d. Compression fracture of a vertebra
B
Bone infection or osteomyelitis is most common in clients with an open fracture because skin integrity is lost and organisms gain access easily. The nurse will remind all those who come into contact with the client to use good handwashing and will observe the wound daily for signs of infection. The other clients do not have extra risk factors for infection.
You might also like to view...
A patient in the postanesthesia recovery period is to be extubated. Why does the nurse suction the oral pharynx before extubation?
A) Reduces the risk of laryngospasm B) Increases mucosal moisture C) Increases patient comfort D) Decreases nausea and vomiting
A 50-year-old man has come to the occupational health nurse for his yearly vision and hearing screening. He states, "My father had colon cancer, but I really don't understand why they recommend a colonoscopy."
The occupational health nurse explains the need for a colonoscopy and provides the patient with additional written information. In order to provide information to more individuals the nurse should: A) Plan a health fair for the employees that provides information about age related diseases. B) Refer every employee over the age of 50 to a gastroenterologist for a screening colonoscopy. C) Provide instruction on diet and exercise as it relates to the prevention of colon cancer in people over 50. D) Place brochures in the nurses' facility for the employees to access in answering their questions.
A patient comes to the ED with crush syndrome from a crush injury to his right upper extremity and right lower extremity when heavy equipment fell on him at a construction site. The patient has signs and symptoms of hypovolemia, hyperkalemia, and compartment syndrome. Management of care for this patient will focus on preventing which complications? (Select all)
a) Sepsis b) Cardiac dysrithmias c) Respiratory failure d) Acute kidney failure e) Fluid overload
The nurse develops a discharge teaching plan for a patient who was prescribed pancreatic enzyme replacement and includes what important teaching point?
A) Take the enzymes on an empty stomach. B) Crush the capsules and take with food. C) Avoid spilling the powder on the skin because it may be irritating. D) Pancreatin and pancrelipase are interchangeable.