Learning Activity 3: Case Study – Fractures



[pic] Learning Activity 4: Case Study – Fractures

Situation: Reggy Evans (R.E.) is a 10-year-old boy who comes to the urgent care center with his

mom following a fall off his bicycle after his dad had tightened the hand brakes on his

bike. His mom thinks he may have broken his arm. R.E. is otherwise healthy, normal

in his growth and development, and has no allergies.

1. Of particular concern when a child breaks a bone is:

a. a greenstick fracture.

b. a displaced fracture.

c. a fracture just below the metaphysis.

d. a fracture near the epiphyseal plate.

2. An x-ray reveals an oblique fracture of the radius. An oblique fracture is caused by a:

a. rotational force.

b. break near the attachment of a ligament.

c. crushing injury.

d. demineralization of the bone.

3. R.E.’s fracture is a simple fracture. If it were a compound, a major concern would be:

a. prolonged healing of the fracture.

b. infection.

c. abnormal healing producing deformity.

d. impaired callus formation.

4. Fracture nonunion, in which healing of the fracture does not occur within 4-6 months

after the fracture may be due to:

a. unequal muscle pull on the fracture site.

b. impaired blood supply to the fracture site.

c. infection at the fracture site.

d. compartment syndrome.

5. R.E.’s fracture is immobilized with a full-length arm cast. With a new cast, and possible continued

swelling from the injury, R.E. will be monitored for the development of compartment syndrome.

Signs and/or symptoms of compartment syndrome include all the following except:

a. decreased movement of R.E.’s hand and fingers.

b. involved hand or fingers are cold to touch.

c. decreased sensation of his hand or fingers.

d. capillary refill of < 3 seconds.

LrnAct.M/S.4.MdP

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download