WorksheetsFractures by ARB
Total questions: 15
Worksheet time: 15mins
Figure 1 represents what type of bone fracture: This is a fracture that is slanted across the bone shaft.
Transverse Fracture
Oblique Fracture
Compound Fracture
Spiral Fracture
Figure 2 represents what type of bone fracture: The fractured bone is broken into many fragments (3 or more).*
Open Fracture
Greenstick Fracture
Communited Fracture
Oblique Fracture
Figure 3 represents what type of bone fracture: This a fractured bone that breaks through the skin.*
Closed Fracture
Compound Fracture
Greenstick Fracture
Transverse Fracture
You're caring for a patient who has experienced a fracture to the right arm that is represented in Figure 3. What nursing intervention will you take with this type of fracture?*
A. B. C. D.
Cover the fracture with a sterile dressing.
Place the arm below the heart level.
Attempt bone reduction by manually readjusting the bone.
Place a tight compression bandage over the fracture.
85 year old patient has an accidental fall while going to the bathroom without assistance. It appears the patient has sustained a bone fracture to the left leg. The leg's shape is deformed and the patient is unable to move it. The patient is alert and oriented but in pain. What will you do FIRST after confirming the patient is safe and
Apply an ice pack covered with a towel to the site.
Immobilize the fracture with a splint.
Administer pain medication.
Elevate the extremity above heart level.
Which statement by a patient, who just received a cast on the right arm for a fracture, requires you to notify the physician immediately?*
"It is really itchy inside my cast!"
"My pain is so severe that it hurts to stretch or elevate my arm."
"I can feel my fingers and move them."
"I've been using ice packs to reduce swelling."
What medical diagnosis is most likely happening to your patient given the complaint in the Question 6?
Sprain
Compartmental syndrome
Fat embolism
Air embolism
A patient sustained a fracture to the femur. The patient has suddenly become confused, restless, and has a respiratory rate of 30 breaths per minute. Based on the location of fracture and the presenting symptoms, this patient may be experiencing what type of complication?*
Compartment Syndrome
Osteomyelitis
Fat embolism
Hypovolemia
What is a LATE sign of compartment syndrome?*
Paralysis
Pain
Paresthesia
Pulselessness
Select all the signs and symptoms that will present in compartment syndrome?
Capillary refill less than 2 seconds
Pallor
Pain relief with medication
Feeling of tingling in the extremity
Affected extremity feels cooler to the touch than the unaffected extremity
Your patient is 2 hours post-op from a cast placement on the right leg. The patient has family in the room. Which action by the significant other requires you to re-educate the patient and family about cast care?
A. . B. C. D.
Gently moving the cast with the fingertips of the hands every 2 hours to help with drying
Elevating the cast above heart level with pillows.
Checking the color and temperature of the right foot.
Using a hair dryer on the cool setting to help with drying.
Which assessment finding found while assessing a patient with a fracture who has traction requires IMMEDIATE intervention?
The weights are freely hanging on the floor.
Pin sites are free from drainage
Patient uses the overhead trapeze bar to move around in the bed.
Patient’s extremities have a capillary refill of less than 2 seconds.
A nurse is taking care of a 20-year-old male who is post-op for a surgical repair of a right tibia and fibula fracture following a motor vehicle accident. The patient has an external fixation device. Which of these is true concerning the nursing care of this patient?
The neurological examination is normal if he has some loss of sensation and paresthesias in the right plantar surface and toes.
The patient will experience a high degree of pain and muscle spasms that will require large amounts of pain medications and muscle relaxants.
Frequent repositioning will be necessary to ensure his comfort and prevent skin breakdown.
The skin examination should demonstrate warmth, redness, purulent drainage, and edema at the sights of the pin insertions.
A client is being seen for follow-up care after surgery for a fracture in which an external fixation device was placed. What is the most important part of the assessment?
Monitor the pin sites for signs of infection
Ensure that nothing touches the outside of the fixation device
Assure that the traction weights hang freely
Clean and thoroughly dry the skin under the traction
The nurse is caring for a client with a new left leg cast. The client reports increased pain to the affected leg. Which of the following are appropriate nursing interventions for the nurse to implement while caring for this client? Select all that apply.
Encourage the client to increase ambulation
Perform neurovascular checks every hour
Apply ice to the client’s left leg for one hour
Elevate the client’s left leg on two pillows
