A nurse is collecting data from a client who is in Buck's traction. Which of the following findings indicates the traction is functioning correctly?

The weights apply a pulling force continuously.

The boot allows active leg movement.

The footplate rests against the foot of the bed.

The weights are just touching the floor.

Answer and Explanation

The Correct Answer is A

Rationale:

A. The weights apply a pulling force continuously: Buck’s traction is a form of skin traction used to immobilize fractures and reduce muscle spasms. The weights must hang freely and provide a constant pulling force to maintain alignment and promote healing.

B. The boot allows active leg movement: In Buck’s traction, the affected leg should be immobilized. Active movement would interfere with the consistent traction force and compromise the effectiveness of the treatment.

C. The footplate rests against the foot of the bed: The client’s foot should not press against the bedframe or footplate, as this can counteract the traction force and cause improper alignment. There should be adequate space for traction to be effective.

D. The weights are just touching the floor: Weights should hang freely and never touch the floor. If they rest on the floor, the traction force is lost, defeating the purpose of the setup and potentially leading to complications.

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Correct Answer is B

Explanation

Rationale:

A. A middle adult man: Although some adults up to age 45 can receive the HPV vaccine based on shared decision-making, routine vaccination is not typically initiated in middle adulthood. The vaccine is most effective when given prior to exposure to HPV, ideally during adolescence.

B. A teenage boy: The HPV vaccine is routinely recommended for all adolescents, including boys, starting at ages 11 to 12, with catch-up vaccination through age 26 if not previously vaccinated. It helps prevent various HPV-related cancers and is most effective when administered before sexual activity begins.

C. An older adult woman: HPV vaccination is not routinely recommended for individuals older than 26. While it may be considered up to age 45 in certain situations, it is less beneficial after potential HPV exposure, and routine administration in this age group is not advised.

D. A preschool-age girl: The HPV vaccine is not recommended for children under 9 years old. Initiating the vaccine too early is not effective or necessary, as the immune system response and timing related to potential HPV exposure are best addressed in early adolescence.

A. "You should eat three large meals and two snacks per day." B. "You should elevate the head of the bed while sleeping C. "You should only drink 2 cups of coffee per day." D. "You should lay down for 1 hour following a meal."

Correct Answer is B

Explanation

Rationale:

A. "You should eat three large meals and two snacks per day." Eating large meals increases gastric pressure and can worsen reflux symptoms by promoting the backflow of stomach acid into the esophagus. Clients with GERD are advised to consume smaller, more frequent meals to reduce gastric distention.

B. "You should elevate the head of the bed while sleeping." Elevating the head of the bed helps prevent nighttime reflux by using gravity to reduce the likelihood of stomach acid flowing back into the esophagus. This is a key non-pharmacologic strategy in managing GERD symptoms during sleep.

C. "You should only drink 2 cups of coffee per day." Coffee, regardless of the quantity, can relax the lower esophageal sphincter and stimulate acid production. Rather than limiting intake to two cups, clients with GERD are often advised to avoid coffee altogether or monitor symptoms closely.

D. "You should lay down for 1 hour following a meal." Lying down after eating increases the risk of acid reflux due to the horizontal position reducing the effect of gravity. Clients should remain upright for at least 2 to 3 hours after meals to minimize reflux episodes.

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A nurse is collecting data from a client who is in Buck's traction. Which of the following findings indicates the traction is functioning correctly?

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