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. Stating that ibuprofen is the first step in medication therapy for osteoarthritis is not an accurate statement. Medication choices should be made in consultation with a healthcare provider, and different medications may be prescribed based on individual needs.

B. Elevating the legs with pillows is generally not a specific intervention for osteoarthritis in the knees. While elevation can help with other conditions, it is not a primary recommendation for managing knee osteoarthritis.

C. Using either heat or ice can be helpful in relieving discomfort associated with osteoarthritis. This statement indicates an understanding of self-care strategies for managing symptoms.

D. Limiting physical activity is not typically recommended for osteoarthritis management. In fact, regular and appropriate physical activity can be beneficial for maintaining joint function and reducing pain in individuals with osteoarthritis.

A. Avoid prolonged sitting. B. Sleep in a side-lying position with flexed knees. C. Sleep on a soft mattress. D. Try padded shoe insoles. E. Apply heat for 10 min every hour.

Correct Answer is ["A","B","D","E"]

Explanation

A. Avoiding prolonged sitting helps reduce pressure on the lower back and minimizes the risk of developing back strain or pain.

B. Sleeping in a side-lying position with flexed knees helps maintain the natural curvature of the spine and reduces strain on the lower back.

D. Using padded shoe insoles can provide additional support and cushioning to the feet and lower back, helping to reduce strain.

E. Applying heat for short durations can help relax muscles and alleviate muscle tension, which can contribute to back pain relief. However, it's important not to overuse heat, so short intervals are recommended.

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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 in a medical clinic is providing teaching to an older adult client who has osteoarthritis that is affecting her knees. Which of the following client statements indicates an understanding of the teaching?

Correct Answer is C

Explanation

A nurse is educating coworkers about how to minimize back strain and avoid repeated episodes of low back pain. Which of the following strategies should the nurse include? (Select all that apply.)

Correct Answer is ["A","B","D","E"]

Explanation

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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?

A nurse is caring for a client who has a cast in place for a fractured tibia. Which of the following nursing actions is the priority immediately after the provider has applied the cast?

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