A nurse is reinforcing teaching about Russell's traction with a newly licensed nurse. Which of the following statements should the nurse make?
"Russell's traction uses a sling under the knee to treat a fracture of the femur."
"Russell's traction uses a cervical halter to decrease cervical muscle spasms."
"Russell's traction uses a pelvic girdle belt to decrease lower back pain."
"Russell's traction uses skeletal pins to stabilize the fracture."
The Correct Answer is A
Choice A reason: Russell's traction involves the use of a sling under the knee to apply a pulling force on the femur. This helps in aligning and stabilizing the fractured femur, allowing for proper healing. The sling supports the leg, while weights provide the necessary traction force.
Choice B reason: A cervical halter is used in cervical traction to relieve muscle spasms and align the cervical spine, not in Russell's traction. This type of traction is not related to treating femur fractures.
Choice C reason: A pelvic girdle belt is used in pelvic traction to relieve lower back pain and stabilize pelvic fractures, not in Russell's traction. Russell's traction specifically pertains to femur fractures.
Choice D reason: Skeletal pins are used in skeletal traction, where pins are inserted into the bone to apply direct traction. Russell's traction, however, does not use skeletal pins; it uses a sling and weights to apply traction.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: While a thallium scan can provide information about the heart's functional capacity, it is more specifically used to detect areas of the heart muscle that are not receiving adequate blood supply.
Choice B reason: A thallium scan does not identify heart rhythm disturbances. This is typically evaluated with an electrocardiogram (ECG) or Holter monitor.
Choice C reason: The size of the chambers of the heart is usually assessed through echocardiography or other imaging techniques, not a thallium scan.
Choice D reason: The correct answer is d because a thallium scan detects damage to the heart muscle by identifying areas with reduced blood flow, which may indicate ischemia or previous infarction.
Correct Answer is C
Explanation
Choice A reason: Applying lotion to the skin around the edges of the splint may increase moisture and friction, which can contribute to skin breakdown. It is better to use protective dressings to reduce friction.
Choice B reason: Turning the client every 4 hours is not frequent enough. Clients in skeletal traction should be repositioned frequently, typically every 2 hours, to prevent pressure ulcers and maintain skin integrity.
Choice C reason: The correct answer is c because padding the top of the splint with protective dressings helps reduce friction and pressure on the skin, preventing skin breakdown and ensuring the client's comfort.
Choice D reason: Applying a footplate to the bed is not directly related to preventing skin breakdown. The primary focus should be on reducing friction and pressure around the splint.
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