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 C

Explanation

By 3 months old, most babies can lift their heads and chest up from a belly-down position.
Choice A is not correct because it is normal for a 3-month-old infant to be unable to roll from back to abdomen.
Choice B is not correct because it is normal for a 3-month-old infant to be unable to use a pincer grasp to pick up objects.
Choice D is not correct because it is normal for a 3-month-old infant to be unable to sit without support.

A. "Touch your chin to your chest, and then look up at the ceiling.". B. "Bend forward from the waist with your head and arms downward.". C. "Turn to the side, and remain in a relaxed position.". D. "Lie prone on the examination table.".

Correct Answer is B

Explanation

This is known as the Adams Forward Bend Test and is a standard screening test for scoliosis.
Choice A is incorrect because touching the chin to the chest and looking up at the ceiling does not provide a view of the spine necessary for scoliosis screening.
Choice C is incorrect because turning to the side and remaining relaxed does not provide a view of the spine necessary for scoliosis screening.
Choice D is incorrect because lying prone on the examination table does not provide a view of the spine necessary for scoliosis screening.

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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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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?