A. Stay with the person, Encourage her to remain still and Immobilize the leg while
While waiting for the ambulance.
B. Leave the person for a few
... [Show More] moments to call for help.
C. Reduce the fracture manually.
D. Move the person to a safer place.
* The old woman is in the middle of a train railway. It is very unsafe to immobilize here
legs and remain still at the middle of a railway considering that a train might come
anytime while waiting for an ambulance. Safety is the utmost importance at this point. If
letter D is not among the choices and the situation is a little less dangerous, the answer
will be A. Remember that in all cases of emergencies, removing the victim from the
scene to a much safer place is a priority.
2. Dervid suspects a hip fracture when he noticed that the old woman’s leg is [4]
A. Lengthened, Abducted and Internally Rotated.
B. Shortened, Abducted and Externally Rotated.
C. Shortened, Adducted and Internally Rotated.
D. Shortened, Adducted and Externally Rotated.
3. The old woman complains of pain. John noticed that the knee is reddened, warm to
touch and swollen. John interprets that this signs and symptoms are likely related to [2]
A. Infection
C. Thrombophlebitis
B. Inflammation
D. Degenerative disease
* After a trauma, Inflammation will start almost instantly. Infection occurse 24-48 hours
after bone fracture and not immediately. Thrombophlebitis occurs within 4 to 7 days of
hospitalization after prolonged immobilization. There is no evidence that the client has a
degenerative disease and degenerative diseases will manifest in variety of ways and not
after a trauma.
4. The old woman told John that she has osteoporosis; Dervid knew that all of the
following factors would contribute to osteoporosis except [4]
A. Hypothyroidism
B. End stage renal disease
C. Cushing’s Disease
D. Taking Furosemide and Phenytoin.
* B,C,D all contributes to bone deminiralization except HYPOTHYROIDISM.
Hyperthyroidism will contribute to bone deminiralization as well as Hyperparathyroidism
due to the increase in PTH, It will cause the movement of calcium from the bone to the
blood causing HYPERCALCEMIA. ESRD will cause increase in PHOPHSATE due to
its poor excretion. The amount of phosphate is inversely proportional to the amount of
calcium. Cushing disease promotes bone demineralization as well as medications like
diuretics and anti convulsants.
5. Martha, The old woman was now Immobilized and brought to the emergency room.
The X-ray shows a fractured femur and pelvis. The ER Nurse would carefully monitor
Martha for which of th [Show Less]