Bandage indicated in collar bone fracture is?

Appeared in: HPSSC Staff Nurse - 2021

Explanation

A figure-of-eight bandage or strap is specifically designed to manage clavicle fractures.
The mechanism involves pulling the shoulders backward and upward, which helps to reduce (align) the fracture fragments.
This immobilization technique minimizes movement at the fracture site, promoting proper bone healing.
It is the standard non-operative treatment for most middle-third clavicle fractures.

Option A: A Capeline bandage is a specific technique used to apply a dressing to the head or scalp, not the shoulder or clavicle area.
Option B: A spiral bandage is used to cover cylindrical body parts that have a relatively uniform circumference, such as the forearm or lower leg.
Option D: A splint is a rigid device used to immobilize a body part, but 'splint' is a general term for the device itself, not the specific bandaging pattern. While a clavicle fracture requires immobilization, the specific bandage pattern used is the figure-of-eight.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Bandaging techniques for fractures as background academic context rather than a clinical decision trigger.
Proper application and monitoring of a figure-of-eight bandage are critical nursing responsibilities to ensure fracture healing and prevent complications.
Key complications to monitor for include neurovascular compromise (impaired circulation or nerve function in the arm) and skin breakdown under the straps, especially in the axilla.
Patient education is vital. The nurse must teach the patient and family how to check for signs of poor circulation (e.g., pale or blue fingers, numbness, increased pain) and skin irritation.

How to Approach the Question

First, identify the key terms in the question: 'bandage' and 'collar bone fracture' (clavicle).
This is a factual recall question that requires knowledge of specific bandaging techniques for different injuries.
Mentally review or visualize the different types of bandages and their primary uses.
Evaluate each option: 'Capeline' is for the head. 'Spiral' is for uniform limbs. 'Splint' is a general device, not a pattern. 'Figure of eight' is specifically used for joints and the clavicle.
Select the option that directly corresponds to the anatomical location and injury described.

Concept Tested & Keywords

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E6 Nelson Textbook of Pediatrics(2024) — Volume 2 p. 2091-2093

E6 Nursing Fundamentals Potter Perry 12e Part 6 p. 102-104

E6 Nursing Brunner Adult Health 3SA Vol 1 Part 4 p. 116-118

Practise the full HPSSC Staff Nurse - 2021

Attempt every question from this paper in a timed mock, then review the full solution for each one.