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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Looseness of the stump dressing may indicate the need for adjustment, but it is not a complication in itself.

B. The dressing forming a cone shape over the stump is a not sign of complications.

C. Pitting edema around the stump dressing may indicate swelling, which is common after an amputation. It is important to monitor for excessive edema as it is a sign of potential complication.

D. Figure-eight wrapping around the stump is a technique used to provide even pressure and support, helping to prevent edema and promote healing. It is not a complication.

A. "I will place a bath seat in my shower to use when I bathe." B. "I will place an area rug at the entry of my bathroom." C. "I will keep my walker at the end of my bed." D. "I will keep the fluorescent ceiling light on in my room at night."

Correct Answer is A

Explanation

A. Placing a bath seat in the shower is a safety measure to prevent falls while bathing. This statement indicates an understanding of the importance of bathroom safety.

B. Placing an area rug at the entry of the bathroom can actually increase the risk of falls, as rugs can be tripping hazards. This statement does not demonstrate an understanding of home safety.

C. Keeping the walker at the end of the bed is a good practice for easy access, but it doesn't specifically address fall prevention in the home.

D. Keeping the fluorescent ceiling light on at night can provide better visibility and reduce the risk of tripping, but it doesn't address specific fall prevention measures elsewhere in the home.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing the elastic bandage on the stump of a client who had a right below-the knee amputation. Which of the following findings should the nurse identify as a complication?

Correct Answer is C

Explanation

A nurse is teaching a client who has a history of falls about home safety. Which of the following statements should the nurse identify as an indication that the client understands the instructions?

Correct Answer is A

Explanation

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