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A 46-year-old male was injured in an industrial accident and has suffered a fractured left leg and left wrist. His wrist is treated with a cast and the leg is placed in skeletal traction. Because of immobilization of his leg, the patient is at risk for (Select all that apply.)

venous thrombosis.

pressure injury.

foot drop.

generalized edema.

constipation.

Answer and Explanation

Correct Answer : A,B,C,E

A. Venous thrombosis.

Immobility increases the risk of deep vein thrombosis (DVT) due to venous stasis in the lower extremities.

B. Pressure injury.

Prolonged immobility and pressure on bony prominences elevate the risk of skin breakdown and ulcers.

C. Foot drop.

Prolonged immobilization without proper foot support can cause plantar flexion contractures, known as foot drop.

D. Generalized edema.

While localized edema near the injury is expected, generalized edema is not typically associated with traction.

E. Constipation.

Decreased physical activity and possible pain medications (like opioids) contribute to constipation in immobilized patients.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. False

A GI assessment should be done daily, especially in post-op clients or those on narcotics, which can slow bowel motility.

A. Hold the crutches on your unaffected side when preparing to sit in a chair B. Hold the crutches 9 inches in front and to the side of each foot C. Lean on the crutches to support your body weight when standing D. Fully extend your arms when holding onto the hand grips

Correct Answer is A

Explanation

A. Hold the crutches on your unaffected side when preparing to sit in a chair

This helps maintain balance and control while transitioning from standing to sitting.

B. Hold the crutches 9 inches in front and to the side of each foot

The correct placement is approximately 6 inches (not 9) in front and 6 inches to the side of each foot for stability.

C. Lean on the crutches to support your body weight when standing

Weight should be supported by the hands on the handgrips, not the axillae, to avoid nerve injury (e.g., brachial plexus damage).

D. Fully extend your arms when holding onto the hand grips

The elbows should be slightly flexed (about 20-30 degrees) to allow proper support and shock absorption.

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A 46-year-old male was injured in an industrial accident and has suffered a fractured left leg and left wrist. His wrist is treated with a cast and the leg is placed in skeletal traction. Because of immobilization of his leg, the patient is at risk for (Select all that apply.)

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Naxlex Comprehensive Predictor Exams

Please indicate whether the following statement is true or false. A nurse working on the orthopedic floor understands that a gastrointestinal assessment should be done every three days.

Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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