A client sustained multiple fractures in a motor vehicle ...

[JMatthes]

A client sustained multiple fractures in a motor vehicle accident. The nurse determines that the client is at a high risk for osteomyelitis due to which type of fracture?
 
  A) Avulsion
  B) Open
  C) Comminuted
  D) Depression

Question 2

The nurse is answering questions from participants after a presentation on preventing fractures at an assisted-living facility. Which resident is at highest risk for the development of fractures?
 
  A) The resident who participates in resistance training exercises 3 times a week and takes a calcium supplement
  B) The resident who hikes in the woods once a week and smokes 14 cigarettes per day
  C) The resident who line dances twice a week and has a glass of wine with dinner
  D) The resident who teaches yoga four times per week and is lactose-intolerant

[mbcrismon]

Answer to Question 1

Answer: B

The highest risk for infection, osteomyelitis, is when bone breaks through the skin in an open fracture. Comminuted, avulsion, and depression fractures are closed from the environment and at less risk of infection.

Answer to Question 2

Answer: B

Among older adult clients, smoking is the highest-risk behavior. Although exercise helps prevent fractures, hiking on an uneven surface can be a risk. Resistance training, line dancing, yoga, and a calcium supplement can decrease the risk of fracture with a fall. A glass of wine daily is not a risk factor for fracture from a fall. Lactose intolerance can lower calcium intake, although there are other sources of dietary or supplemental calcium.