ATI Swift River 2.0 Fractures Questions and Answers Latest Version 100% Pass

ATI Swift River 2.0 Fractures Questions and Answers Latest Version 100% Pass A patient with a fractured femur reports tingling in the toes. What should the nurse do first? Assess neurovascular status, including pulses, capillary refill, and movement. A patient with a fractured tibia in a cast complains of increasing pain unrelieved by medication. What is the priority action? Assess for compartment syndrome by checking for swelling, tightness, and decreased perfusion. A patient in a hip spica cast complains of itching inside the cast. What is the safest action for the nurse to suggest? Use a cool setting on a hairdryer to relieve the itch without inserting objects into the cast. A client with a fractured arm reports their fingers feel cold and look pale. What is the nurse’s best initial response? Check circulation and notify the provider if signs of impaired perfusion are present. 2 A patient with a pelvic fracture has blood at the urinary meatus. What should the nurse do? Avoid catheter insertion and notify the provider immediately. A patient with a leg fracture asks when they can begin weight-bearing. What is the nurse’s best response? Follow the provider’s orders based on healing progression and type of fracture. A patient has just returned from surgery with an external fixator. What is a key nursing priority? Monitor pin sites for signs of infection like redness, drainage, and warmth. A patient with a femur fracture suddenly becomes short of breath and restless. What should the nurse suspect? A fat embolism; initiate oxygen therapy and notify the provider. A client with a cast reports a feeling of pressure and pain that worsens with elevation. What should the nurse do? Lower the limb to improve perfusion and assess for compartment syndrome. 3 A patient with a fractured humerus in traction asks why movement is restricted. What is the nurse’s best explanation? Traction helps align the bone and allows for proper healing by maintaining positioning. A patient in traction complains that their heels hurt. What is the nurse’s next step? Inspect skin integrity and provide heel protectors or repositioning as needed. A patient with an arm cast asks how to prevent swelling. What is an appropriate teaching point? Keep the arm elevated above heart level and wiggle fingers regularly. A patient with a fracture is at risk for constipation due to immobility. What nursing intervention is most appropriate? Encourage fluids, fiber intake, and administer a stool softener as prescribed. A patient asks how long their cast must remain in place. What is the best response by the nurse? It depends on the severity and location of the fracture, usually several weeks. 4 A patient with a recent fracture is having anxiety about their recovery. What is a helpful nursing approach? Provide reassurance, involve the patient in care planning, and offer realistic expectations. A patient’s traction weights are resting on the floor. What should the nurse do? Reposition the weights so they hang freely to maintain proper traction force. A patient reports numbness in their casted leg. What is the nurse's immediate action? Loosen or bivalve the cast if allowed, and notify the provider due to possible nerve compression. A patient in skeletal traction needs to use