A nurse is caring for a client who has a left femur fracture and is in skeletal traction. The client reports pain due to muscle spasms in the affected leg. Which of the following is an appropriate action by the nurse?

Realign the extremity in traction

Remove the traction weights.

Increase the amount of traction

Allow the weights to rest on the floor

Answer and Explanation

The Correct Answer is A

A. Realign the extremity in traction: Muscle spasms can be caused by misalignment or improper positioning of the extremity. Realigning the leg ensures proper traction force distribution, reduces muscle tension, and alleviates pain. This is the most appropriate initial action for managing spasm-related discomfort.

B. Remove the traction weights: Removing weights would interrupt the prescribed traction, potentially worsening fracture alignment and increasing pain or complications. Traction must be maintained continuously unless ordered otherwise by the provider.

C. Increase the amount of traction: Increasing weight without a provider order can cause neurovascular compromise, worsen pain, or damage tissue. Adjustments to traction must be prescribed, not done autonomously by the nurse.

D. Allow the weights to rest on the floor: Letting the weights rest on the floor eliminates the traction force, which can lead to malalignment of the fracture, increased muscle spasms, and delayed healing. This action is unsafe and inappropriate.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is A

Explanation

A. Hypotension: Elevated magnesium levels cause smooth muscle relaxation and vasodilation, which can lead to hypotension. Severe hypermagnesemia can depress cardiovascular function, making low blood pressure a key expected finding.

B. Tachycardia: Hypermagnesemia typically causes bradycardia rather than tachycardia due to its depressant effect on cardiac conduction. Tachycardia is more often associated with hypovolemia, pain, or sympathetic stimulation, not high magnesium levels.

C. Muscle cramps: Muscle cramps and tetany are more commonly associated with hypomagnesemia. High magnesium levels have a neuromuscular depressant effect, leading to weakness rather than cramping.

D. Hyperreflexia: Hyperreflexia occurs with low magnesium levels. In hypermagnesemia, deep tendon reflexes are diminished or absent due to the depressant effect on neuromuscular transmission.

A. Shellfish allergy B. History of smoking C. Cardiac dysrhythmia D. Family history of malignant hyperthermia

Correct Answer is A

Explanation

A. Shellfish allergy: Glucosamine supplements are often derived from shellfish. Clients with a shellfish allergy may experience an allergic reaction if they take glucosamine, making this an important contraindication to assess before recommending the supplement.

B. History of smoking: Smoking does not directly contraindicate glucosamine use. While smoking has other health risks, it does not increase the risk of adverse effects from this supplement.

C. Cardiac dysrhythmia: Glucosamine is not known to cause cardiac dysrhythmias, and a history of dysrhythmias is generally not a contraindication. Standard monitoring is sufficient.

D. Family history of malignant hyperthermia: Malignant hyperthermia is triggered by certain anesthetic agents, not dietary supplements like glucosamine. This family history does not affect the safety of glucosamine intake.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for a client who has a left femur fracture and is in skeletal traction. The client reports pain due to muscle spasms in the affected leg. Which of the following is an appropriate action by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has a magnesium level of 4.4 mEq/L (1.3 to 2.1 mEq/L). Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

A client asks the nurse if it is safe to take a glucosamine supplement. The nurse should assess for which of the following potential contraindications?

Correct Answer is A

Explanation

A nurse is caring for a client who is on the cardiac step-down unit. Drag 1 condition and 1 client finding to fill in each blank in the following sentence. The client is at risk for developing _____ as evidenced by their ______

A nurse is providing teaching about car seat safety to the parent of a term newborn. Which of the following statements by the parent indicates an understanding of the teaching?

A nurse is about to administer an injection to a client when the client states, "I don't want that injection. The last time I got that I was sore for a week." The nurse goes ahead and administers the injection against the client's wishes. The nurse committed which of the following?

A home health nurse is assessing a client who is recovering from an acute myocardial infarction (MI). Which of the following assessment findings should the nurse report to the provider as a possible indication of left-sided heart failure?

A nurse is teaching a client who is 2 days postpartum and is breastfeeding. Which of the following statements by the client indicates an understanding of the teaching?

The nurse is reviewing the female client's medical record. The nurse is preparing the client for a thoracentesis. Select the 4 actions that the nurse should take.

A nurse is planning care for a newly admitted adolescent client who has bacterial meningitis. Which of the following instructions is appropriate for the nurse to include in the plan of care?

A nurse is assessing a client who has a calcium deficiency. The nurse should identify that the client is at risk for which of the following conditions?