A nurse practitioner is examining a patient with hand pain after falling on an outstretched hand. What is the appropriate follow-up evaluation?

The appropriate follow-up evaluation involves repeating an X-ray of the wrist in 2 weeks. This follow-up is essential to assess for any potential complications that may not have been immediately evident after the initial injury. Common complications from a fall on an outstretched hand can include fractures, particularly of the scaphoid bone, which can result in delayed healing or non-union if not properly identified and managed.

Re-evaluating with an X-ray will help determine if there are any fractures that may have been missed initially, as certain fractures may not be visible on the first set of X-rays due to swelling or incomplete ossification. This is critical in patients who present with ongoing pain or significant risk factors for fractures.

In comparison, other follow-up options, such as checking range of motion or strength, might assess recovery but do not directly evaluate for potential fractures that require specific treatment. Placing the wrist in a universal splint may provide initial support but does not constitute an evaluation to monitor the progression or healing of any underlying injury, nor does it address the risk of missed fractures. Thus, the focus on radiographic evaluation after an appropriate interval is vital for ensuring that any complications are caught early.