In this nursing care plan guide are 11 nursing diagnosis for fracture. Know the assessment, goals, related factors, and nursing interventions with rationale for fracture in this guide. They occur when the physical force exerted on the bone is stronger than the bone itself. They commonly happen because of car accidents, falls or sports injuries. Other causes are low bone density and osteoporosiswhich cause weakening of the bones.
Five major types are as follows:. Nursing care planning of a patient with a fracture, whether in a cast or in traction, is based upon prevention of complications during healing.
On emergency trauma care basic include triage, assessment and maintaining airway, breathing, and circulation, protecting the cervical spine and assessing the level of consciousness. Risk for Falls : Increased susceptibility to falling that may cause physical harm.
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Open compound, complicated fractures — involve trauma to surrounding tissue and break in the skin. Incomplete fractures — are partial cross-sectional breaks with incomplete bone disruption.
Complete fractures — are complete cross-sectional breaks severing the periosteum. Comminuted fractures — produce several breaks of the bone, producing splinters and fragments. Greenstick fractures — break one side of a bone and bend the other. Spiral torsion fractures — involve a fracture twisting around the shaft of the bone. Transverse fractures — occur straight across the bone. Oblique fractures — occur at an angle across the bone less than a transverse image by : physio-pedia.
Demonstrate body mechanics that promote stability at fracture site. Nursing Interventions Maintain bed rest or limb rest as indicated. Provide support of joints above and below fracture site, especially when moving and turning. Support fracture site with pillows or folded blankets. Maintain neutral position of affected part with sandbags, splints, trochanter roll, footboard. Proper placement of pillows also can prevent pressure deformities in the drying cast. Use sufficient personnel for turning.
Avoid using abduction bar for turning patient with spica cast. Failure to properly support limbs in casts may cause the cast to break. Observe and evaluate splinted extremity for resolution of edema.
As edema subsides, readjustment of splint or application of plaster or fiberglass cast may be required for continued alignment of fracture. Maintain position or integrity of traction. Skeletal traction pins, wires, tongs permits use of greater weight for traction pull than can be applied to skin tissues. Ascertain that all clamps are functional. Lubricate pulleys and check ropes for fraying.
Secure and wrap knots with adhesive tape. Keep ropes unobstructed with weights hanging free; avoid lifting or releasing weights.John Smith. Forgot your password? Login Sign Up Free. Speak now. Quiz Maker All Products. The nurse is caring for a client admitted with multiple trauma. Fractures include the pelvis, femur, and ulna. Which finding should be reported to the physician immediately? Hematuria B. Muscle spasms C. Dizziness D.
Asked by Wyatt WilliamsLast updated: Apr 09, Post Your Answer. John Smith Answered Jun 19, Hematuria Hematuria in a client with a pelvic fracture can indicate trauma to the bladder or impending bleeding disorders. It is not unusual for the client to complain of muscles spasms with multiple fractures, so answer B is incorrect.
Dizziness can be associated with blood loss and is nonspecific, making answer C incorrect. Nausea, as stated in answer D, is also common in the client with multiple traumas. Write Your Answer. A physician has diagnosed Which of the following would you NOT expect to see with this patient if this condition were acute? Which of the following stages is the toddler in according to Erickson? A toddler is 16 months old and Which of the following actions should be taken by the nurse?
The nurse cares for a child who is in Which of the following electrolyte imbalances is common cause of digoxin toxicity?To login with Google, please enable popups. Sign up.Bad Pelvic Fractures
The client is severely dehydrated. What are reasons why the human body requires fluid? Select all that apply. Which client has more extracellular fluid? A healthy client eats a regular, balanced diet and drinks 3, mL of liquids during a hour period. A client with dehydration will have an increase in:. A decrease in arterial blood pressure will result in the release of:. A client age 80 years, who takes diuretics for management of hypertension, informs the nurse that she takes laxatives daily to promote bowel movements.Harm pathfinder
The nurse assesses the client for possible symptoms of:Term. Potassium is essential for normal cardiac, neural, and muscle function and contractility of all muscles. Which is false about potassium?
Normal serum potassium ranges from 5. A nurse is measuring intake and output for a patient who has congestive heart failure.
Fractures Nursing Care Plan & Management
What does not need to be recorded? Fruit consumption. The nurse is assessing a newly admitted client and finds that he has edema of his right ankle that is 2 mm and just perceptible.
The nurse documents this at which grade? The nurse is instructed by the physician that the client needs an intravenous fluid that is not likely to pull fluids into the vascular space. The nurse recognizes that the physician is suggesting which kind of fluid? Upon assessment of a client's peripheral intravenous site, the nurse notices the area is red and warm.
The client complains of pain when the nurse gently palpates the area. These signs and symptoms indicative of what? A nurse is required to initiate IV therapy for a client.This material must not be used for commercial purposes, or in any hospital or medical facility. Failure to comply may result in legal action. Medically reviewed by Drugs.
Last updated on Feb 3, Get plenty of rest while your fracture heals. When the pain decreases, begin normal, slow movements.
Slowly start to do more as directed. Rest when you feel it is needed.
11 Fracture Nursing Care Plans
Do not lift heavy objects. Apply ice on your hip joint or pelvis for 15 to 20 minutes every hour or as directed. Use an ice pack, or put crushed ice in a plastic bag. Cover it with a towel before you apply it. Ice helps prevent tissue damage and decreases swelling and pain. You may need to use crutches or a walker until the fracture heals. Ask for more information about how to use a walking devices if needed.
A physical therapist may teach you exercises to strengthen your hips and legs after the pain is gone. The above information is an educational aid only.
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A fracture may be caused by fall, vehicular accidents, or certain underlying disorders which can weaken portions of the skeleton to break- these disorders may include certain infections, benign bone tumors, cancer, and osteoporosis.
The common manifestations of fracture are pain, swelling, redness, and the limb may not function properly or a shortened limb may also be observed. There are five common types of fracture : 1 Complete — fracture involves the entire bone with cross- sectional injury to bone breaking it into bone fragments; 2 Incomplete — it only involves a portion of the bone by which one side is broken while the other is not or just had bent; 3 Closed — a fracture which does not extend through the skin; 4 Open — bone fragments extends through the muscle of the skin; and 5 Pathological — a fracture which happens in a diseased bone or due to osteoporosis or cancer.
Client will be able to understand and accept skeletal integrity and will be able to recognize the need for assistance; identify and correct possible factors in the environment and demonstrate lifestyle changes in promoting bone integrity and preventing self from further injury.
Client will be able learn and perform correct body mechanics like using crutches while walking and sitting after 8 hours of nursing care. Client will be able to identify essential key points in assisting body to move, correct potential hazardous environmental factors, and accept disease condition which needs assistance from others or by which client will be able to develop to learn how to do usual daily activities without assistance from others appropriately.
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Last updated on Feb 3, Fractures heal as new bone grows to fill in the gap between the broken pieces. Resting your hip as much as possible allows the bone to heal. You may need to rest in bed for a while so the pelvic bones can heal. If you are not allowed out of bed, ask caregivers if you may exercise one or both of your legs in bed. Exercise may make your legs stronger and may help stop blood clots from forming.
Stop exercising if you become tired. You may not be able to get out of bed to urinate or to have a bowel movement BM. If you cannot get out of bed you will use a bedpan.
11 Fracture Nursing Care Plans
Ask your caregivers if you need help using the bedpan. You may use the call button when you need your caregiver. Pain, trouble breathing, or wanting to get out of bed are good reasons to call. The call button should always be close enough for you to reach it. Keep the bag below your waist. This will prevent urine from flowing back into your bladder and causing an infection or other problems. Also, keep the tube free of kinks so the urine will drain properly.
Do not pull on the catheter. This can cause pain and bleeding, and may cause the catheter to come out.Mips print t0
Caregivers will remove the catheter as soon as possible to help prevent infection. Caregivers will keep track of the amount of liquid you are getting. They also may need to know how much you are urinating. Ask how much liquid you should drink each day. Ask caregivers if they need to measure or collect your urine.
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