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 A
Explanation
Childhood obesity is a serious medical condition that can lead to health problems that were once considered adult problems, such as diabetes, high blood pressure, and high cholesterol.
Choice B, Hypotension, is incorrect because it refers to low blood pressure, which is not a common complication of childhood obesity.
Choice C, Rheumatoid arthritis, is incorrect because it is an autoimmune disorder that is not directly related to childhood obesity.
Choice D, Attention-deficit/hyperactivity disorder (ADHD), is incorrect because it is a neurodevelopmental disorder that is not directly related to childhood obesity.
Correct Answer is B
Explanation
The nurse should instruct the parents to bring the infant’s favorite blanket to the hospital.
This can provide comfort and a sense of familiarity for the infant during their hospital stay.
Choice A is incorrect because reading a story about hospitalization to an 8- month-old infant may not be developmentally appropriate.
Choice C is incorrect because parents are usually allowed to stay with their infant during hospitalization.
Choice D is incorrect because manipulating the infant’s bedtime based on the hospital’s visiting hours is not necessary.
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