The nurse admits a 14-year-old with an edematous painful left forearm after having an accident while driving an all-terrain vehicle. The x-ray shows a comminuted fracture of the radius and displaced fracture of the ulna
The nurse anticipates the client's initial treatment will be: 1. External fixation.
2. Internal fixation.
3. Casting.
4. Traction.
2
Rationale: Because the fractures are both displaced and comminuted, they cannot be repaired externally, and will require surgery to approximate the bones prior to casting. Traction might be indicated, depending on the repair performed after the surgery is completed. The arm cannot be casted until edema subsides to reduce the risk of circulatory impairment.
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