How should ENPs evaluate patients with suspected fractures?

Conducting a detailed physical exam and ordering imaging is the appropriate approach for evaluating patients with suspected fractures. This process allows the Emergency Nurse Practitioner (ENP) to gather both subjective and objective data relevant to the patient's condition, including assessing the mechanism of injury, the location and nature of the pain, and any visible deformities, swelling, or bruising.

Through a thorough physical exam, the ENP can determine the level of function and mobility of the affected area. This assessment is critical in formulating a differential diagnosis. Subsequently, imaging studies, such as X-rays, can be ordered to provide clear visualization of the bone structure. These images are essential for confirming the presence of a fracture, determining its type and severity, and guiding further management.

While assessing for inflammation through blood tests and ordering CT scans may be useful in specific circumstances, these options are not the first-line approach for suspected fractures. Similarly, relying solely on history and recommending rest may lead to misdiagnosis and delayed treatment, potentially worsening the patient's condition. Thus, the combination of a thorough physical examination and appropriate imaging is the most effective method for evaluating suspected fractures.