The nurse arrives for the shift report and finds out that one of ...

[yoooooman]

The nurse arrives for the shift report and finds out that one of his assigned clients has a compound or open fracture and is going to surgery sometime during the shift. The nurse knows that this type of fracture involves:
 
  a. a bone that has broken, and the two sections of broken bone are not aligned
  b. a broken bone that is protruding through the skin, causing an open wound
  c. two or more types of fractures, thus compounding or making the situation worse
  d. significant bleeding into the area surrounding the fracture

Question 2

A parent brings a 3-year-old child to the clinic with a complaint of a painful elbow. The pediatrician orders an X-ray, which reveals the child has a dislocated elbow. The pediatrician or the office nurse will:
 
  a. immediately call and report suspected child abuse
  b. assess to see if this injury is related to rough play with other children
  c. talk with the family about not forcibly lifting the child by the hand
  d. question the parent to ascertain who might be abusing the child

[ambernicolefink]

Answer to Question 1

B

Feedback
A Incorrect. A compound or open fracture is not a bone that has broken, and the two sections of broken bone are not aligned.
B Correct. A compound or open fracture is a broken bone that is protruding through the skin, causing an open wound.
C Incorrect. A compound or open fracture is not two or more types of fractures, thus compounding or making the situation worse.
D Incorrect. A compound or open fracture is not significant bleeding into the area surrounding the fracture.

Answer to Question 2

C

Feedback
A Incorrect. A dislocated elbow is not typically caused by child abuse. Child abuse can cause fractures of the sternum, ribs, skull, nose, facial features, femur (in children less than 1 year of age); and spiral fractures.
B Incorrect. A dislocated elbow is usually not related to rough play with other children.
C Correct. Dislocation of the elbow results when a child's hand is suddenly jerked by an adult to prevent a fall or when a child is forcibly lifted by the hand. Therefore, The pediatrician or the office nurse will talk with the family about not forcibly lifting the child by the hand.
D Incorrect. A dislocated elbow is not typically caused by child abuse; therefore, this response is inappropriate.

[yoooooman]

Wow, this really help

[Joy Chen]

Thanks for the timely response, appreciate it