Try Naxlex NCLEX-RN (Free-Trial)

A nurse is providing care for a patient who is in skeletal traction. Which action should the nurse take?

Unscrew the pins to clean the pin sites.

Loosen the rope knots holding the weights for 30 minutes if the patient reports pain.

Ensure that at least 4.5 kg (10 lb) of weight is applied to the patient’s traction.

Remove the weights while turning the patient in bed.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Unscrewing the pins to clean the pin sites is not recommended. This could lead to infection and disrupt the traction.

Choice B rationale

Loosening the rope knots holding the weights for 30 minutes if the patient reports pain is not recommended. The weights provide the necessary force to align and immobilize the body part and should not be removed.

Choice C rationale

Ensuring that at least 4.5 kg (10 lb) of weight is applied to the patient’s traction is a correct action. The amount of weight applied must be sufficient to provide the necessary force for alignment.

Choice D rationale

Removing the weights while turning the patient in bed is not recommended. The weights must remain in place to maintain the therapeutic effect of the traction.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

Choice A rationale

A physical therapist focuses on improving a client’s movement, mobility, and function, and relieving pain. They may not specialize in helping clients with difficulties using utensils during meals.

Choice B rationale

A recreational therapist uses a variety of modalities, including arts and crafts, animals, sports, games, dance and movement, drama, music, and community outings to help maintain or improve a patient’s physical, social, and emotional well-being. However, they may not be the best fit for a client having difficulty using utensils during meals.

Choice C rationale

An occupational therapist specializes in helping people regain, develop, and build skills that are important for independent functioning, health, and well-being. They can provide strategies and make recommendations for adaptive equipment, such as specially designed utensils, to

help the client with Parkinson’s disease eat more independently. Therefore, referring the client to an occupational therapist would be the most beneficial.

Choice D rationale

A speech therapist specializes in the evaluation and treatment of communication disorders and swallowing disorders. While they could assist if the client had difficulties with swallowing, they may not be the best fit for a client having difficulty using utensils during meals.

A. “Having a total cholesterol level below 200 mg/dL increases my stroke risk.”. B. “I can decrease my stroke risk by losing excess weight.”. C. “My provider might prescribe a glucocorticoid regimen to decrease my stroke risk.”. D. “My stroke risk increases if my HbA1c level is 6 percent or less.”.

Correct Answer is B

Explanation

Choice A rationale

Having a total cholesterol level below 200 mg/dL is generally considered healthy and does not increase stroke risk. High cholesterol can contribute to atherosclerosis, a condition that increases stroke risk.

Choice B rationale

Losing excess weight can indeed help decrease stroke risk. Obesity is a risk factor for several health conditions that increase stroke risk, including hypertension and diabetes.

Choice C rationale

Glucocorticoids are not typically prescribed to decrease stroke risk. In fact, long-term use of glucocorticoids can increase the risk of conditions such as hypertension and diabetes, which in turn can increase stroke risk.

Choice D rationale

An HbA1c level of 6 percent or less is generally considered good blood sugar control for people with diabetes. Good blood sugar control can help prevent complications of diabetes, including stroke.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is providing care for a patient who is in skeletal traction. Which action should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with Parkinson’s disease who has difficulty using utensils during meals. Which interdisciplinary team member should the nurse recommend for a referral?

Correct Answer is C

Explanation

A nurse is reinforcing teaching with a client who has diabetes mellitus about reducing stroke risk. Which client statement indicates understanding of the teaching?

Correct Answer is B

Explanation

A nurse is involved in the care of a patient who is initiating IV therapy. Which of the following tasks is the nurse preparing to perform?

A nurse is contributing to the care plan for a client starting a bladder training program for urinary incontinence management.What action should the nurse take?

A nurse is preparing to administer diphenhydramine 25 mg PO every 6 hours to an older adult patient who has rhinitis.The available medication is diphenhydramine syrup 12.5 mg/5 mL. How many mL should the nurse administer?

A nurse is caring for a young adult patient who has testicular cancer and expresses concern about their sexual function following an orchiectomy of the involved testicle.What responses should the nurse make?

A nurse is reviewing the laboratory data of a patient who is scheduled for a liver biopsy. Which of the following values should the nurse report to the provider?