Author Question: X-ray results are negative for fracture, and a second-degree sprain is diagnosed. The physician ... (Read 39 times)

bucstennis@aim.com · **on:** Jun 25, 2018

X-ray results are negative for fracture, and a second-degree sprain is diagnosed. The physician orders
immobilization with an elastic bandage and an air stirrup brace, with instructions for crutches. The physi
cian instructs d.M.

not to bear weight on his ankle for 2 days, then to use only partial weight bearing until
the ankle heals.
Describe the technique for applying an elastic wrap. Give the rationale.

What will be an ideal response?

Question 2

You note significant swelling over the fourth and fifth metatarsals. How would you further
evaluate this finding?

What will be an ideal response?

frogdreck123456 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

The elastic wrapping should begin distally to prevent milking of venous blood flow and
extravascular fluid downward. The wrap should be unrolled with little tension and should be smooth
and without wrinkles. A figure-of-eight wrap should be used at the ankle joint. Capillary refill should
be checked after application, and the skin over the toes should be checked for warmth; observe skin
color for pallor.

Answer to Question 2

Apply pressure over the area to assess for pain. If pain is present, the x-ray examination should
include the ankle as well as the foot. Inversion injuries commonly result in fracture of the fifth
metatarsal.