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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A child with autism spectrum disorder may have problems with social communication and interaction, including ignoring a caregiver who offers them a snack.
Choice A is incorrect because crying and stomping feet after another child takes a toy is normal behavior for a 2- or 3-year-old child.
Choice B is incorrect because repeating an action over and over is not necessarily indicative of autism spectrum disorder.
Choice D is incorrect because flipping a light switch off and on until asked to stop and join other children in playing is not necessarily indicative of autism spectrum disorder.
Correct Answer is C
Explanation
A complete fracture is when the bone breaks into two or more separate pieces.
This is in contrast to an incomplete fracture, where the bone is only partially broken.
A spiral fracture is a type of complete fracture that occurs when a long bone is twisted with force.
A greenstick fracture is a type of incomplete fracture that occurs when a bone bends and cracks but does not break completely.
Choice A, Spiral, is incorrect because it refers to a specific type of complete fracture that occurs when a long bone is twisted with force.
Choice B, Incomplete, is incorrect because it refers to a type of fracture where the bone is only partially broken.
Choice D, Greenstick, is incorrect because it refers to a specific type of incomplete fracture that occurs when a bone bends and cracks but does not break completely.
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