A nurse is caring for a client who has skeletal traction for the treatment of a femur fracture.

Which of the following actions should the nurse take?

Position the weights on the traction so they are touching the head of the client's bed

Encourage isometric exercises every 8 hr

Administer pain medication to the client before performing pin care

Assist the client to shift position every 4 hr.

Answer and Explanation

The Correct Answer is D

The nurse should assist the client to shift position every 4 hours to prevent complications such as pressure ulcers and pneumonia.
Choice A is incorrect because the weights on the traction should be freely hanging and not touching any part of the bed.
Choice B is incorrect because isometric exercises may not be appropriate for a client with a femur fracture and should be prescribed by a healthcare provider.
Choice C is incorrect because administering pain medication before performing pin care may not be necessary and should be based on the client’s level of pain and the healthcare provider’s orders.

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Correct Answer is B

Explanation

A nurse would recommend having crackers handy at the bedside and eating a few before getting out of bed to alleviate nausea in the early morning for a pregnant woman 1.
Eating foods that don’t aggravate your stomach, such as crackers, can help limit morning sickness.
Choice A is not an answer because eating three well-balanced meals per day and limiting snacks may not help alleviate nausea.
Eating small meals can help limit morning sickness.
Choice C is not an answer because drinking a full glass of fluid at the beginning of each meal may not help alleviate nausea.
Drinking throughout the day, not just when you are thirsty, can help limit morning sickness.
Choice D is not an answer because eating a bland diet and avoiding concentrated sweets may not help alleviate nausea.
Eating foods that don’t aggravate your stomach can help limit morning sickness.

A. Amniocentesis. B. Biophysical Profile. C. Contraction stress test. D. Nonstress test.

Correct Answer is A

Explanation

This is a diagnostic procedure that involves inserting a needle into the uterus to obtain a sample of amniotic fluid for testing.
This procedure can cause a small amount of fetal blood to enter the maternal circulation, which can trigger an immune response in Rh-negative women carrying Rh-positive fetuses.
RhoGAM is a medication that contains antibodies against the Rh factor and prevents the mother from developing her own antibodies that could harm the fetus or future pregnancies.
RhoGAM should be given within 72 hours after amniocentesis to Rh-negative women who are not already sensitized2.
Choice B.
Biophysical Profile is incorrect, as this is a noninvasive diagnostic procedure that involves ultrasound and fetal heart rate monitoring to assess fetal well-being.
This procedure does not cause fetomaternal hemorrhage and does not require RhoGAM administration.
Choice C.
The contraction stress test is incorrect, as this is a noninvasive diagnostic procedure that involves inducing uterine contractions and monitoring fetal heart rate response to assess fetal oxygenation.
This procedure does not cause fetomaternal hemorrhage and does not require RhoGAM administration.
Choice D.
A nonstress test is incorrect, as this is a noninvasive diagnostic procedure that involves monitoring fetal heart rate and movement to assess fetal well-being.
This procedure does not cause fetomaternal hemorrhage and does not require RhoGAM administration.
Therefore, choice A is the best answer to this question.

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A nurse is caring for a client who has skeletal traction for the treatment of a femur fracture. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

A pregnant woman is experiencing nausea in the early morning. What recommendations would the nurse offer to alleviate this symptom?

Correct Answer is B

Explanation

The nurse discovers a new prescription for RhoGAM for a client who is about to undergo a diagnostic procedure. The nurse will administer the RhoGAM after which procedure?

Correct Answer is A

Explanation

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A nurse is reinforcing teaching about common discomforts of pregnancy during the first trimester with a client who is pregnant. Which of the following manifestations should the nurse include in the teaching?

A nurse is caring for a client who has skeletal traction for the treatment of a femur fracture.

Which of the following actions should the nurse take?