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A nurse is caring for a client whose right leg is in Buck's traction. Which of the following should the nurse implement to promote mobility?

Log rolling every 2 hr

Passive range-of-motion exercises of the right leg

Active range-of-motion exercises of the left leg

Isometric exercises of both legs

Answer and Explanation

The Correct Answer is D

A. Log rolling every 2 hr

Log rolling is appropriate for spinal precautions, not necessary in Buck’s traction.

B. Passive range-of-motion exercises of the right leg

The leg in traction must remain immobilized; no ROM exercises on the affected leg.

C. Active range-of-motion exercises of the left leg

While this can help prevent deconditioning, it’s not as effective for overall mobility as isometric exercises.

D. Isometric exercises of both legs

Isometric exercises (e.g., quad or glute squeezes) promote circulation and prevent muscle atrophy in both limbs without disturbing traction.

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Correct Answer is A

Explanation

A. Palms only.

Using palms distributes pressure evenly and prevents indentations in the wet cast that could lead to pressure sores.

B. Palms and flat parts of fingers.

Using palms is safest; fingers can still create indentations if not careful.

C. Fingertips and flat parts of fingers.

Fingertips can leave dents in the soft plaster, which may cause pressure points and skin breakdown once the cast hardens.

D. Fingertips and palms.

Fingertips should be avoided entirely when handling a fresh cast.

A. Ask the client if she has been out of bed today. B. Ask the client to push her legs and feet against the nurse's palms. C. Check the client's pedal pulses and feet for edema. D. Ask the client how strong she feels today.

Correct Answer is B

Explanation

A. Ask the client if she has been out of bed today:

This gives some insight into activity level but doesn't objectively measure strength.

B. Ask the client to push her legs and feet against the nurse's palms:

This provides a direct, physical assessment of the client's lower extremity strength, which is essential before ambulation.

C. Check the client's pedal pulses and feet for edema:

These assessments are related to circulation, not muscular strength.

D. Ask the client how strong she feels today:

This is subjective and may not reflect actual muscle strength or ability to ambulate safely.

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A nurse is caring for a client whose right leg is in Buck's traction. Which of the following should the nurse implement to promote mobility?

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