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Learn about the nursing care management of patients with fractures in this nursing study guide. What is Fracture?Injury to one part of the musculoskeletal system results in the malfunction of adjacent muscles, joints, and tendons.
ClassificationThere are several kinds of fracture that may occur in a bone:
CausesFractures may be caused by the following:
Clinical ManifestationsThe clinical signs and symptoms of a fracture may include the following but not all are present in every fracture:
ComplicationsComplications of fractures may either be acute or chronic.
Assessment and Diagnostic FindingsTo determine the presence of fracture, the following diagnostic tools are used.
Medical ManagementManagement of a patient with a fracture can belong to either emergent or post-emergent.
Nursing ManagementNursing management for close and open fractures should be differentiated. Nursing AssessmentAssessment of the fractured area includes the following:
DiagnosisBased on the assessment data gathered, the nursing diagnoses developed include: Planning & GoalsMain Article: 8 Fracture Nursing Care Plans Planning and goals developed for a patient with fracture are:
Nursing InterventionsNursing care of a patient with fracture include:
EvaluationThe following should be evaluated for a successful implementation of the care plan.
Discharge and Home Care GuidelinesAfter completion of the home care instructions, the patient or caregiver will be able to:
Documentation GuidelinesThe focus of documentation should include:
Practice Quiz: FractureHere’s a 5-item quiz about the study guide. Please visit our nursing test bank for more NCLEX practice questions. 1. The following are the different types of fractures except for: A. Open fracture. B. Diagonal fracture. C. Closed fracture. D. Comminuted fracture. 2. The most definitive diagnostic tool used in a patient with a fracture is: A. Blood studies. B. SGPT and SGOT tests. C. X-ray. D. MRI. 3. Which of the following is a nursing diagnosis for a patient with a fracture? A. Risk for electrolyte imbalance. B. Situational low self-esteem. C. Acute pain. D. Impaired breathing pattern. 4. The fractured part should be elevated above the level of what organ? A. Brain. B. Heart. C. Liver. D. Kidney. 5. What kind of shock is most commonly found in a patient with a fracture? A. Hypovolemic shock. D. Septic shock. Answers and Rationale 1. Answer: B. Diagonal fracture.
2. Answer: C. X-ray.
3. Answer: C. Acute pain.
4. Answer: B. Heart.
5. Answer: A. Hypovolemic shock.
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