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?
Hyperextend the client's back while the fracture pan is in place.
Keep the bed flat while the client is on the fracture pan.
Encourage the client to try to defecate for 20 min while on the fracture pan.
Place the shallow end of the fracture pan under the client's buttocks
The Correct Answer is D
A. Hyperextend the client's back while the fracture pan is in place: Hyperextending the client's back is not necessary and can cause discomfort or strain. The client's back should be kept in a neutral position.
B. Keep the bed flat while the client is on the fracture pan: Raising the head of the bed slightly can facilitate the client's positioning and defecation. It is not necessary to keep the bed completely flat.
C. Encourage the client to try to defecate for 20 minutes while on the fracture pan: Encouraging the client to try to defecate for a specific time frame is not necessary and may lead to discomfort or straining. The client should be allowed to take the time they need and not be rushed during this process.
D. Place the shallow end of the fracture pan under the client's buttocks: When using a fracture bedpan, the shallow end should be placed under the client's buttocks to allow for proper positioning. The higher, deeper end of the bedpan is positioned under the client's lower back.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
a."OJ" for orange juice is not recommended. While it might seem straightforward, "OJ" could be confused with "oj" or other abbreviations, leading to potential confusion. It's better to write out "orange juice."
b."SS" for sliding scale is not recommended" could be misinterpreted or confused with other meanings. It's safer to write out "sliding scale."
c.SQ is commonly mistaken as “5 every”.Use SUBQ (all UPPERCASE letters, without spaces or periods between letters), or subcutaneous(ly).
d.This is a commonly accepted abbreviation in medical documentation, meaning bathroom privileges.
Correct Answer is ["200"]
Explanation
To calculate the dose of gentamicin, you need to convert the client's weight from pounds to kilograms, then multiply it by the dosage.
1 lb = 0.453592 kg (approximately)
Client's weight: 220 lb Weight in kg: 220 lb × 0.453592 kg/lb = 99.79048 kg
Dosage: 2 mg/kg
Dose = Weight (kg) × Dosage (mg/kg) Dose = 99.79048 kg × 2 mg/kg = 199.58096 mg
Rounding to the nearest whole number: 200 mg
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