A nurse is caring for a patient whose right leg is in Buck’s traction.
Which interventions should the nurse implement to promote the patient’s mobility?
Perform passive range of motion exercises on the right leg.
Perform isometric exercises on both legs.
Perform active range-of-motion exercises on the left leg.
Log roll the patient every 2 hours.
The Correct Answer is C
Choice A rationale
Performing passive range of motion exercises on the right leg in Buck’s traction may not be appropriate. These exercises involve moving the joint without the patient’s muscles doing the work, which could disrupt the traction.
Choice B rationale
Isometric exercises involve contracting the muscles without moving the joints. While these exercises can be beneficial for maintaining muscle strength, they may not promote mobility.
Choice C rationale
Performing active range-of-motion exercises on the left leg can help promote mobility. These exercises involve the patient moving the joint through its full range of motion, which can help maintain joint flexibility and muscle strength.
Choice D rationale
Log rolling the patient every 2 hours may not be appropriate for a patient in Buck’s traction. This technique involves turning the patient as a unit to prevent twisting and protect the spine, which could disrupt the traction.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
While gloves are part of the standard personal protective equipment (PPE) for healthcare workers, they are not specifically required for droplet precautions when preparing a patient’s meal tray.
Choice B rationale
Goggles are not specifically required for droplet precautions when preparing a patient’s meal tray. They are typically used to protect the eyes during procedures that may generate splashes of blood, body fluids, secretions, or excretions.
Choice C rationale
A gown is not specifically required for droplet precautions when preparing a patient’s meal tray. Gowns are typically used during procedures that may generate splashes of blood, body fluids, secretions, or excretions.
Choice D rationale
A mask is required for droplet precautions. Droplets that are generated by the patient can be inhaled by individuals who are within close proximity. Wearing a mask can help to prevent the inhalation of these droplets.
Correct Answer is C
Explanation
Choice A rationale
Establishing a patient relationship is important, but it’s not the first action the nurse should take. The nurse must first ensure safety for all involved.
Choice B rationale
Exploring the truth of the patient’s statements is a part of the therapeutic process, but it’s not the first step. The immediate concern should be to ensure safety.
Choice C rationale
Setting behavioral limits for the patient is the first action the nurse should take. This is crucial in managing a patient who has shown aggressive behavior. It helps to establish boundaries and expectations, which can prevent further aggressive incidents.
Choice D rationale
While it’s important to explain to the patient that the behavior was unacceptable, this is not the first action. The immediate priority is to ensure safety by setting behavioral limits.
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