Question

21-Year-Old Female with Deep Lacerations While riding her bike lo campus, 21-year-old Liliana Rose was struck by a car Examination in the Emergency Department reveals several injuries and she was admitted for further treatment Relative to her skeletal system, the following notes have been added to her chart • Fracture of superior right Sbia (shinbone): 35-cm laceration where bone protrudes. Area cleaned and the bone subjected to internal (open) reduction Cast applied • Nutrient artery of tibia damaged • Medial meniscus (fibrocartilage disc) of right knee joint crushed, knee joint inflamed, swollen und painful Relative to these notes 1. What type of fracture does Liliana have? 2 When assessing Liliana's condition relative to hertibla fracture after the open reduction, the nurse will be especially alert for signs of which of these problems? a Inadequate calcium for healing b. Infection c Failure of the red bone marrow to create enough erythrocytes d Bleeding 3. Which of the following statements about Lillana's condition are correct? Explain your reasoning Her leg will not heal to its normal length the epiphyses have been damaged b. Her log healing will involve only osteocytos, since she was fully grown before being injured c Her leg healing will involve only osteoclasts and osteoblasts d Her leg will heal by laying down cartiage in the injured area followed by bone Whether her leg heals will depend on whether the periosteum is damaged. 4 Given an uncomplicated recovery approximately how long should it take before Lillana's bone has heated? What complications might be predicted by the fact that the nutrient artery is damaged? 5. Youre talking with Liliana before her release from the hospital. Which of her statements indicates the need for further patient education? a The only supplement should need would be calcium sol will take a calcium supplement every morning b. "My parathyroids are really important for maintaining my bones Wat the doctor have my vitamin D levels tested? d Atlast have an excuse for taking walks outside in the sun 6. How likely is it that lana s knee cartilage will regenerate? Why? Justify your thinking and be sure to reference any content from the text and/or outside resources, Case Study 1 21-Year-Old Female with Deep Lacerations While riding her bike to campus, 21-year-old Liliana Rose was struck by a car. Examination in the Emergency Department reveals several injuries and she was admitted for further treatment. Relative to her skeletal system, the following notes have been added to her chart. • Fracture of superior right tibia (shinbone): 3.5-cm laceration where bone protrudes. Area cleaned and the bone subjected to internal (open) reduction. Cast applied. • Nutrient artery of tibia damaged. • Medial meniscus (fibrocartilage disc) of right knee joint crushed; knee joint inflamed, swollen, and painful. Relative to these notes: 1. What type of fracture does Liliana have? 2. When assessing Liliana's condition relative to her tibia fracture after the open reduction, the nurse will be especially alert for signs of which of these problems? a Inadequate calcium for healing minn 18modereset b. Infection c. Failure of the red bone marrow to create enough erythrocyles d. Bleeding 3. Which of the following statements about Liliana's condition are correct? Explain your reasoning. a. Her leg will not heal to its normal length if the epiphyses have been damaged. b. Her leg healing will involve only osteocytes, since she was fully grown before being injured. c. Her leg healing will involve only osteoclasts and osteoblasts. d. Her leg will heal by laying down cartilage in the injured area, followed by bone. e. Whether her leg heals will depend on whether the periosteum is damaged. 4. Given an uncomplicated recovery, approximately how long should it take before Liliana's bone has healed? What complications might be predicted by the fact that the nutrient artery is damaged? 5. You're talking with Liliana before her release from the hospital. Which of her statements indicates the need for further patient education? a. "The only supplement I should need would be calcium, so I will take a calcium supplement every morning." b. "My parathyroids are really important for maintaining my bones!" C. "Will the doctor have my vitamin D levels tested?" d. "At last I have an excuse for taking walks outside in the sun!" 6. How likely is it that Liliana's knee cartilage will regenerate? Why?

Answer 1

Liliana has a compound fracture of the tibia with potential complications due to the damaged nutrient artery. Bone healing can take 6 to 8 weeks, but she may need more than calcium for proper healing. Knee cartilage regeneration is unlikely due to its limited regenerative capacity.

Step-by-step explanation:

Liliana has sustained a compound fracture of the superior right tibia, which is indicated by the description of the bone protruding through a laceration in the skin.

After the open reduction, the nurse should be especially alert for signs of infection due to the invasive nature of the procedure and the skin being broken, providing a potential entry point for bacteria.

Correct statements regarding Liliana's condition include:

• Her leg will heal by laying down cartilage in the injured area, followed by bone (option d).
• Whether her leg heals will depend on whether the periosteum is damaged (option e).

Given an uncomplicated recovery, bone healing typically takes about 6 to 8 weeks. However, since the nutrient artery of the tibia is damaged, complications such as delayed healing or non-union might occur because the artery is responsible for supplying blood to the bone, essential for the healing process.

The statement from Liliana that indicates the need for further patient education is:

"The only supplement I should need would be calcium, so I will take a calcium supplement every morning." (option a)

This statement may suggest a misunderstanding since vitamin D and potentially other nutrients are also important for bone healing and calcium absorption.

Regarding the regeneration of knee cartilage, it is unlikely that the medial meniscus will regenerate effectively because cartilage has limited regenerative capacity, especially in weight-bearing joints like the knee where blood supply is limited and the tissue damage is extensive.