A nurse is caring for a client who has a spinal cord injury. Which of the following support devices should the nurse plan to use to prevent plantar flexion contractures?
Trochanter roll
Footboard
Sheepskin heel pad
Abduction pillow
The Correct Answer is B
Rationale:
A. Trochanter roll: A trochanter roll is used to prevent external rotation of the hips in clients who are immobile. It does not support the feet or ankles and therefore does not prevent plantar flexion contractures.
B. Footboard: A footboard helps maintain the foot in a dorsiflexed, neutral position by providing firm support against the soles. This prevents foot drop, a common plantar flexion contracture in clients with limited mobility.
C. Sheepskin heel pad: Sheepskin heel pads protect the heels from pressure ulcers by reducing friction and shear but do not maintain ankle alignment or prevent plantar flexion of the feet.
D. Abduction pillow: An abduction pillow is placed between the legs to maintain hip alignment after procedures like hip replacement. It offers no support to the feet and does not prevent plantar flexion.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. "Manually expressing my milk will decrease my milk supply": Milk supply is maintained by frequent emptying of the breast. Manual expression, like breastfeeding or pumping, actually stimulates continued milk production through the supply-and-demand mechanism.
B. "After 5 to 10 minutes when the breasts emptied, my baby should be removed from the breast”: Infants should not be removed from the breast based on time alone. Breastfeeding duration varies, and babies should be allowed to nurse until they release the breast or show signs of fullness.
C. "The more my baby is at the breast sucking, the more milk I will produce”: Milk production is driven by infant demand. Frequent suckling stimulates prolactin release, encouraging ongoing milk synthesis and maintaining an adequate supply.
D. "My baby should always start on the same breast when feeding”: Breastfeeding should be alternated between breasts to promote equal milk production and prevent engorgement. Starting on the same breast consistently may lead to uneven milk supply.
Correct Answer is A
Explanation
Rationale:
A. “I will apply sunscreen before and after swimming.” Sunscreen should be applied at least 15–30 minutes before sun exposure and reapplied after swimming or sweating, even if labeled water-resistant, to maintain UV protection.
B. “I will use sunblock with an SPF of 10 when I am outdoors.” SPF 10 offers minimal protection and is below the recommended minimum of SPF 30 for effective skin cancer prevention. Higher SPF levels provide greater protection against harmful UV rays.
C. “I will use an indoor tanning bed instead of going outside.” Indoor tanning beds emit concentrated UV radiation and are strongly associated with increased risk for skin cancer, including melanoma. They should not be used as a safer alternative to sun exposure.
D. “I will plan to spend time tanning between 10 a.m. and 2 p.m.” UV radiation is most intense between 10 a.m. and 2 p.m., making this the highest-risk period for skin damage. Sun exposure during these hours should be minimized or avoided to prevent skin cancer.
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