A patient with an open fracture of the left femur that punctured the skin waited 2 hours before getting to the hospital. What would be the priority problem to address when caring for this patient?
1. insufficient nutrition
2. high potential for infection
3. low body temperature
4. fear and anxiety
Correct Answer: 2
The open bone fracture has been exposed to contaminants. The delay in treatment prolongs the patient's exposure to bacteria. This patient is at risk for infection that can delay healing and possibly result in osteomyelitis and ultimately a loss of the limb. There is no indication that the patient is malnourished or has a low body temperature. The patient might be fearful and anxious, but this is not a priority at this time.
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