Quick Answer: Which General Nursing Measure Is Used For A Client With A Fracture Reduction?

How do you manage open fractures?

Options for wound closure in the treatment of open fractures include primary closure of the skin, split-thickness skin-grafting, and the use of either free or local muscle flaps.

The timing of open wound closure has proponents in the immediate, early, and delayed categories..

Which of the following refers to a blunt force injury to soft tissue?

A contusion (bruise) is an injury to the soft tissue often produced by a blunt force, such as a kick, fall, or blow. The result will be pain, swelling, and discoloration because of bleeding into the tissue. Treatment for contusions includes rest, ice, compression, and elevation (R.I.C.E.).

Who is most at risk for compartment syndrome?

Age. Although people of any age can develop chronic exertional compartment syndrome, the condition is most common in male and female athletes under age 30. Type of exercise. Repetitive impact activity — such as running — increases your risk of developing the condition.

What is the most reliable indication of compartment syndrome in a patient who is unconscious?

Acute compartment syndromes usually present within 48 hours of injury. A high index of suspicion is required, especially with an unconscious patient following major trauma. Clinical features include: Increasing pain despite immobilisation of the fracture.

Which of the following nursing interventions is essential in caring for a client with compartment syndrome?

Which nursing intervention is essential in caring for a client with compartment syndrome? Explanation: Nursing measures should include removing all clothing, jewelry, and external forms of pressure (such as dressings or casts) to prevent constriction and additional tissue compromise.

Which may occur if a client experiences compartment syndrome in an upper extremity?

Which of the following may occur if a client experiences compartment syndrome in an upper extremity? Explanation: If compartment syndrome occurs in an upper extremity, it may lead to Volkmann’s contracture, a clawlike deformity of the hand resulting from obstructed arterial blood flow to the forearm and hand.

What are the nursing responsibilities in monitoring patients experiencing a fractures?

Nursing care of a patient with fracture include: The nurse should instruct the patient regarding proper methods to control edema and pain. It is important to teach exercises to maintain the health of the unaffected muscles and to increase the strength of muscles needed for transferring and for using assistive devices.

What are the complications of compartment syndrome?

Complications may include muscle loss, amputation, infection, nerve damage, and kidney failure. Prevention efforts include ice and elevation of the affected extremity. Chronic compartment syndrome usually requires no treatment or surgery.

What factors may contribute to compartment syndrome?

Risk factors for development of a compartment syndrome include fractures of the tibia, forearm, and elbow; crush injuries; bleeding disorders such as hemophilia; ipsilateral forearm and elbow injuries; and open fractures.

What are the five P’s in nursing assessment of a patient with a fracture?

When assessing a patient with a fracture, check the “5 P’s”–pain, pulse, pallor, paresthesia, and paralysis.

Which nursing intervention is appropriate for a client with a closed reduction extremity fracture?

General nursing measures for a patient with a fracture reduction include administering analgesics, providing comfort measures, encouraging participation with ADLs, promoting physical mobility, preventing infection, maintaining skin integrity, and preparing the patient for self-care.

What happens if you don’t treat compartment syndrome?

Compartment syndrome can develop when there’s bleeding or swelling within a compartment. This can cause pressure to build up inside the compartment, which can prevent blood flow. It can cause permanent damage if left untreated, as the muscles and nerves won’t get the nutrients and oxygen they need.

What can you do for compartment syndrome?

Most people with acute compartment syndrome require immediate surgery to reduce the compartment pressure. A surgeon makes long incisions through the skin and the fascia layer underneath (fasciotomy), releasing excessive pressure.

Which term refers to an injury to ligaments and other soft tissues surrounding a joint?

A client sustains an injury to the ligaments surrounding a joint. … A sprain is an injury to the ligaments surrounding a joint. A strain is an injury to a muscle when it is stretched or pulled beyond its capacity. A contusion is a soft tissue injury resulting from a blow or blunt trauma.

What are the two types of compartment syndrome?

There are two types of compartment syndrome: acute and chronic.

Which nursing intervention is appropriate for monitoring the client for the development of Volkmann’s contracture?

occurs through an area of diseased bone. Which nursing intervention is appropriate for monitoring the client for the development of Volkmann’s contracture? Assess the radial pulse. An important nursing assessment, post fracture, is to evaluate neurovascular status.

How do you assess a fracture?

Signs and symptoms of a broken bone include:Swelling or bruising over a bone.Deformity of an arm or leg.Pain in the injured area that gets worse when the area is moved or pressure is applied.An inability to bear weight on the affected foot, ankle, or leg.Loss of function in the injured area.More items…•

What is a late sign of compartment syndrome?

Using or stretching the involved muscles increases the pain. There may also be tingling or burning sensations (paresthesias) in the skin. The muscle may feel tight or full. Numbness or paralysis are late signs of compartment syndrome. They usually indicate permanent tissue injury.

Why do you not elevate with compartment syndrome?

If a developing compartment syndrome is suspected, place the affected limb or limbs at the level of the heart. Elevation is contraindicated because it decreases arterial flow and narrows the arterial-venous pressure gradient.