A patient has come to the orthopedic clinic for a follow-up appointment 6 weeks after fracturing his ankle. Diagnostic imaging reveals that bone union is not taking place. What factor may have contributed to this complication?

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Chapter 6 Skin and the Integumentary System Practice Questions Quizlet Questions

Question 1 of 5

A patient has come to the orthopedic clinic for a follow-up appointment 6 weeks after fracturing his ankle. Diagnostic imaging reveals that bone union is not taking place. What factor may have contributed to this complication?

Correct Answer: C

Rationale: Inadequate fracture immobilization can delay or prevent union. A short-term vitamin D deficiency would not likely prevent bone union. VTE is a serious complication but would not be a cause of nonunion. Similarly, bleeding would not likely delay union.

Question 2 of 5

A patient recovering from full-thickness burns rates pain as a 9 on a scale of 0 to 10 when hydrotherapy is performed. For which type of pain should this patient be treated?

Correct Answer: B

Rationale: Pain during hydrotherapy is procedural pain, caused by the specific activity of wound care, requiring targeted pain management.

Question 3 of 5

The nurse notes that a patient has several lacerations over the coccyx area. What finding most likely caused these lesions?

Correct Answer: C

Rationale: Shearing forces, where skin and underlying tissues move in opposite directions (common over the coccyx), are the most likely cause of lacerations in this area.

Question 4 of 5

The extra layer of the skin that is found in the soles of the feet:

Correct Answer: B

Rationale: The stratum lucidum is an extra layer found in thick skin, such as the soles of the feet, adding durability.

Question 5 of 5

What angle would you use to do an intramuscular injection?

Correct Answer: B

Rationale: Intramuscular injections are typically administered at 90 degrees to ensure deep muscle penetration.

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