Question

J.M 30-year-old is amaintenance employee at the electric company, was seen in the emerg ency department after falling from a building roof. His right lower extremity was splinted with a hardboard splint and a large, bulky dressing. Subjective Data . Complains of severe pain in the right femur. • Expresses concern about notifying his mother about the accident and his whereabouts. Asks how long he will be off work Objective Data · Open oblique fracture of the anterolateral aspect of the femur. Obvious deformity, marked swelling, and ecchymosis in region injury. To be treated with closed reduction and a cast the farctuntion in the femur Questions 1. Was the immobilization of the fracture at the scene of the accident appropriate and why? 2. What is the appropriate nursing neurovascular assessment of the injured extremity? 3. What are the priority therapeutic and nursing interventions to prevent in fection? 4. What specific nursing actions should the nurse implement to alleviate pain? 5. How would the nurse answers question about time off from work based on the stages of fracture healing? 6. Based on the assessment data presented, what are the priority nursing diagnoses? 7. Are there any collaborative problems?

J.M 30 - year - old is amaintenance employee at the digital company, was seen in the

emergency department after falling from The roof. His right lower extremity was splinted with a cartboard splint and a large, bulky dressing. Subjective Data • Complains of severe pain in the right femur. • Expresses concern about notifying his mother about the accident and his whereabouts • Asks how long he will be off work Objective Data · Open oblique fracture of the anterolateral aspect of the femur • Obvious deformity, marked swelling, and ecchymosis in region injury • To be treated with closed reduction and a cast the farctuntion in the femur Questions 1. Was the immobilization of the fracture at the scene of the accident appropriate and why? 2. What is the appropriate nursing neurovascular assessment of the injured extremity? 3. What are the priority therapeutic and nursing interventions to prevent in fection? 4. What specific nursing actions should the nurse implement to alleviates pain? 5. How would the nurse answer j.m question about time off from work based on the stages of fracture healing? 6. Based on the assessment data presented, what are the priority nursing diagnoses? 7. Are there any collaborative problems?

Answer 1

1.This is the appropriate method which is done at the scene.It is a protocol to not mobilise a fracture part as this can further fracture or complicate the wound .

2.The appropriate nursing neurovascular assessment of the injured extremity are

• Assessing the pedal pulse to ensure there is blood circulation
• Assessing nails for cyanosis ,to rule out cesation of blood supply.
• Pinching or simple prick test to assess any numbness to rule out nerve damage

3.Rhe priority therapeutic and nursing interventions to prevent infection are

• Hand hygiene to prevent cross infection and contamination
• Administer antibiotics to prevent growth of microorganisms in the injured site
• Follow aseptic techniques in procedure
• Ensure the wound is closed with sterile dressing to prevent contamination

4.The specific action which the nurse can implement to alleviate pain arre

• Administer analgesics to reduce the intensity and relieve pain
• Apply traction as per order. This prevents dislocation ,movement and this reduces pain .