A nurse is caring for a client who has a prescription for balanced skeletal traction with a Thomas splint for the treatment of a fractured femur. Which of the following interventions should the nurse implement to prevent pressure points from developing around the edges of the splint?
Remove the weights for a few minutes each hour.
Apply lotion to the skin under the edges of the splint.
Apply a foot plate to the bed.
Reposition the client to keep him from staying in the same position in bed.
The Correct Answer is D
A. Removing the weights periodically helps relieve pressure on the skin but dosen't prevent pressure points from developing.
B. Applying lotion may not effectively prevent pressure points and could potentially lead to skin irritation.
C. Applying a foot plate to the bed is not directly related to preventing pressure points around the edges of the splint.
D. Repositioning the client is important for overall comfort as well as preventing complications by altering pressure points.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Increasing the client's protein intake is important for overall healing, but it is not the top priority in the acute phase of osteomyelitis. The immediate priority is to administer antibiotics to address the infection.
B. This is the correct answer. Administering antibiotics is the top priority in the treatment of acute osteomyelitis. Timely administration of appropriate antibiotics is crucial in eradicating the infection and preventing further complications.
C. Providing the client with antipyretic therapy (to reduce fever) is important, but it is secondary to administering antibiotics. The underlying infection must be addressed first and foremost.
D. Teaching relaxation breathing to reduce pain may be beneficial for the client's comfort, but it is not the priority intervention. Controlling the infection with antibiotics takes precedence.
Correct Answer is ["32"]
Explanation
- To calculate the infusion rate, use the formula: mL/hr = (units/hr) x (mL) / (units) - Plug in the values from the question: mL/hr = (1600 units/hr) x (500 mL) / (25.000 units) - Simplify and solve: mL/hr = 32
- Round to the nearest whole number: 32
- The answer is 32 mL/hr
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