The nurse admits a 14-year-old with an edematous painful left ...

[colton]

The nurse admits a 14-year-old with an edematous painful left forearm after having an accident while driving an all-terrain vehicle. The x-ray shows a comminuted fracture of the radius and displaced fracture of the ulna.
 
  The nurse anticipates the client's initial treatment will be: 1. External fixation.
  2. Internal fixation.
  3. Casting.
  4. Traction.

Question 2

The nurse is transferring a client to another unit because the client has improved, and no longer requires acute care. When preparing the client's transfer, the nurse includes which of the following? Select all that apply.
 
  Standard Text: Select all that apply. 1. Signing physician's orders
  2. Informing the client of the reason for transfer
  3. Assisting the client to gather belongings
  4. Preparing report for the receiving unit
  5. Gathering the client's medications and medical record

[jharrington11]

Answer to Question 1

2
Rationale: Because the fractures are both displaced and comminuted, they cannot be repaired externally, and will require surgery to approximate the bones prior to casting. Traction might be indicated, depending on the repair performed after the surgery is completed. The arm cannot be casted until edema subsides to reduce the risk of circulatory impairment.

Answer to Question 2

2,3,4,5
Rationale: When transferring a client to another unit, the need for transfer should be explained to the client, and she should be assisted to gather their belongings. The nurse provides report to the receiving unit, gathers medications and the medical record, and prepares the client from transfer. The physician must sign orders, not the nurse.