Medical Surgical Flail chest & Rib fracture #3

Question

Which intervention for pain relief should the nurse question for a rib fracture?

Answers

  1. Oral pain medication.
    • Rationale:

      This answer is not correct because oral pain medication is used to treat rib fracture. The type of analgesic used will depend on the severity of the pain.

  2. Splinting with a compression wrap.
    • Rationale:

      This answer is correct since splinting with a compression wrap increases the risk for an ineffective breathing pattern. It is important for the client to deep breath to promote chest expansion and prevent pneumonia and atelectasis. Using a pillow to splint when deep breathing and coughing is a recommended intervention.

  3. Massage therapy.
    • Rationale:

      This answer is not correct because massage therapy is a non-pharmacological method to help control pain. Massage therapy can be used by physiotherapists to stimulate the soft tissues around the ribs to relieve pain, improve circulation, and relax the client.

  4. Heat and cold therapy.
    • Rationale:

      This answer is not correct because heat and cold therapy is a non-pharmacological intervention used for pain relief. Cold reduces pain and swelling and heat relaxes the muscles and helps with bruising.

Overview

A rib fracture is when one of the bones in the rib cage breaks or cracks. Pain control is important to prevent an ineffective breathing pattern from not breathing deeply enough.

Explanation

Learning Outcomes

A rib fracture is when one of the bones in the rib cage breaks or cracks. Pain control is important to prevent an ineffective breathing pattern from not breathing deeply enough. Splinting with a compression wrap increases the risk for an ineffective breathing pattern. It is important for the client to deep breath to promote chest expansion and prevent pneumonia and atelectasis. Using a pillow to splint when deep breathing and coughing is a recommended intervention. Oral analgesics are used to treat rib pain, as well as epidurals and nerve blocks. Non-pharmacological interventions include massage therapy and heat/cold therapy.

Test Taking Tip

Have comprehension of non-pharmacological pain relief strategies.

Video Rationale