A nurse is caring for a client who is in Buck's traction. Which of the following actions should the nurse take? (Select all that apply.)
Position weights against the foot of the bed,
Examine the skin under the traction splint.
Monitor peripheral pulses in the affected extremity.
Assess the temperature of the affected extremity.
just the prescribed weights every shift.
Correct Answer : B,C,D
A. Position weights against the foot of the bed: Incorrect. Weights in Buck's traction are typically hung freely over the end of the bed to provide the necessary countertraction. Placing them against the foot of the bed would not serve this purpose.
B. Examine the skin under the traction splint: Correct. It's important to regularly assess the skin underneath the traction splint to ensure there are no signs of pressure ulcers or skin breakdown.
C. Monitor peripheral pulses in the affected extremity: Correct. This is essential to ensure that blood flow to the extremity is not compromised by the traction.
D. Assess the temperature of the affected extremity: Correct. Monitoring the temperature helps in identifying any signs of impaired circulation.
E. Adjust the prescribed weights every shift: This is not something that should be done without specific orders from the healthcare provider. Adjusting the weights should be done based on the specific plan of care and provider's instructions.
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Related Questions
Correct Answer is ["A","B","D","E"]
Explanation
A. Avoiding prolonged sitting helps reduce pressure on the lower back and minimizes the risk of developing back strain or pain.
B. Sleeping in a side-lying position with flexed knees helps maintain the natural curvature of the spine and reduces strain on the lower back.
D. Using padded shoe insoles can provide additional support and cushioning to the feet and lower back, helping to reduce strain.
E. Applying heat for short durations can help relax muscles and alleviate muscle tension, which can contribute to back pain relief. However, it's important not to overuse heat, so short intervals are recommended.
Correct Answer is B
Explanation
A. Was hit by another soccer player on the field - This suggests a possible collision injury, which may result in various types of leg or foot injuries, but it doesn't specifically point to an ankle sprain.
B. Twisted his foot while running bases during a baseball game - This mechanism of injury is consistent with an ankle sprain. Twisting the foot during a sudden movement can cause stretching or tearing of ligaments around the ankle.
C. Has ankle pain after running a 16 km (10 mile) race - This suggests an overuse or strain injury, which could include various types of leg injuries, but it doesn't specifically point to an ankle sprain.
D. Dropped a 4.5 kg (10 lb) weight on his lower leg at a health club - This suggests a potential crush or impact injury to the lower leg, which may result in various types of leg injuries, but it doesn't specifically point to an ankle sprain.
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