A nurse is assisting in the use of a fracture bedpan for a client who is immobile due to a cast. Which of the following actions should the nurse take?

Place the shallow end of the fracture pan under the client's buttocks

Hyperextend the client's back while the fracture pan is in place.

Encourage the client to try to defecate for 20 min while on the fracture pan

Keep the bed flat while the client is on the fracture pan

Answer and Explanation

The Correct Answer is A

When using a fracture bedpan, it is important to position the pan correctly to provide proper support and comfort to the client. The shallow end of the fracture pan should be placed under the client's buttocks, as this end is designed to accommodate the body shape and offer a more comfortable position.

Hyperextending the client's back while the fracture pan is in place can cause discomfort, strain, or potential injury to the client. It is important to maintain a comfortable and neutral position for the client during bedpan use.

Encouraging the client to try to defecate for a specific time period, such as 20 minutes, is not recommended. It is more appropriate to allow the client adequate time and privacy to attempt to defecate without time constraints.

Keeping the bed flat while the client is on the fracture pan may not provide the optimal position for comfort and ease of use. Slight elevation of the head of the bed (Fowler's position) can provide a more comfortable position for the client during bedpan use.

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Correct Answer is C

Explanation

A. Schedule postural drainage after meals.
Postural drainage should be performed at least 1 hour before or 2 hours after meals to avoid discomfort or aspiration.

B. Instruct the client to exhale quickly during vibration.
The client should exhale slowly during vibration to avoid forcing air too quickly into the lungs, which can be uncomfortable.

C. Cover the area of percussion with a towel
Percussion should be done with a towel or soft cloth to avoid skin irritation or injury while still allowing the vibrations to pass through.

D. Perform percussion over the lower back.
Percussion should not be performed over bony areas such as the spine or kidneys. The nurse should focus on the upper chest, lower chest, and upper back but avoid the lower back area.

A. Mix the medications together in a single syringe. B. Dilute each crushed medication with sterile water. C. Flush the NG tube with 5 mL of sterile water prior to administration, D. Combine the medications with the formula in the feeding bag.

Correct Answer is B

Explanation

A. Mixing medications in a syringe can lead to potential drug interactions, changes in medication efficacy, or altered drug absorption. Each medication should be administered separately to maintain their individual therapeutic effects.

B. Each medication should be diluted with sterile water to ensure it can pass through the NG tube without clogging and to facilitate proper absorption.

C.Flushing the NG tube with 5 mL of sterile water is generally not enough. The tube should be flushed with a sufficient amount of water (usually 15-30 mL) before and after administering medications to ensure that the medications are delivered properly and to prevent clogging.

D.Medications should not be combined with the formula in the feeding bag. This can alter the effectiveness of both the medications and the feeding formula.

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A nurse is assisting in the use of a fracture bedpan for a client who is immobile due to a cast. Which of the following actions should the nurse take?

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