While explaining to the parents of a 5-year-old why the child's fractured femur has so much swelling and bruising, the nurse will include which of the following statements?
A)
"Your child fell out of the tree with so much force that the body is trying to send extra fluid to the area of the break."
B)
"All bone fractures have lots of bruising so it's nothing to worry about."
C)
"This bone is hollowed out, and the inside of the shaft produces marrow where red blood cells are formed."
D)
"There are a lot of cartilage attaching to the shaft of the femur, so when you break that bone, it ruptures the cartilage and causes more swelling."
Ans:
C
Feedback:
Long bones usually are narrow in the mid-portion and broad at the ends so that the weight they bear can be distributed over a wider surface. The shaft of a long bone is formed mainly of compact bone roughly hollowed out to form a marrow-filled medullary canal. The edema and bruising following femur fracture are due primarily to disruption of the shaft of the bone. Cartilage attaches at the end of long bones, not the shaft.
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