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

Encopresis is the repeated passage of feces into inappropriate places such as clothing or the floor by a child who is already toilet trained.
Choice A is not correct because encephalopathy refers to a disease or disorder that affects the brain.
Choice C is not correct because enuresis refers to involuntary urination, especially by children at night.
Choice D is not correct because echolalia refers to the repetition of vocalizations made by another person.

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

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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?