Moderate

A patient with an isolated mid-shaft femur fracture has a closed injury, no pelvic injury, and an intact distal pulse. Which intervention is appropriate before transport?

Correct answer: B. Apply a suitable traction splint

  • A. Allow the leg to hang unsupported
  • B. Apply a suitable traction splint
  • C. Manipulate the fracture until it is straight
  • D. Apply heat directly over the fracture

Explanation

A traction splint can reduce movement, pain, bleeding, and muscle spasm in a suitable isolated femoral shaft fracture. It is not used when pelvic or knee injury is suspected, and forceful manipulation can damage vessels and nerves.

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About Burns and Trauma Nursing

Covers the initial and continuing care of patients with burns, haemorrhage, fractures, head injury, chest trauma and shock. It includes burn depth and surface-area estimation, airway protection, fluid resuscitation, wound care, infection prevention, pain management and the distinction between hypovolaemic, septic and neurogenic shock.

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