Colles' (Wrist)fracture Is a Dorsally Angulated Fracture of the Distal

question 2

Multiple Choice

Colles' (wrist) fracture is a dorsally angulated fracture of the distal end of the radius.Most of these fractures can be managed successfully with closed reduction and immobilization,but external fixation is especially useful in the case of a comminuted intra-articular fracture.Internal fixation with Kirschner wires (K wires) is indicated when the distal end of the radius is severely comminuted and displaced.Select the nursing considerations for a patient with a Colles' fracture fixation.

• A) Position in modified semi-Fowler with the hand table and tourniquet at the operative side.
• B) Provide soft tissue instruments in OR and casting supplies available outside OR.
• C) Place tourniquet cuff at mid-forearm level and set to systolic blood pressure level.
• D) Position affected wrist and take an AP and lateral film before surgeon's arrival.

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