A nurse is teaching an assistive personnel (AP) about the purpose of a footplate on the bed of a client whose leg is in Buck's traction. Which of the following statements indicates the AP understands the teaching?
"The footplate keeps the client from sliding down in bed."
"The footplate helps to prevent foot drop."
"The footplate works to anchor the traction."
"The footplate prevents pressure sores on the heel."
The Correct Answer is B
A. The footplate keeps the client from sliding down in bed is not the primary function of the footplate in Buck’s traction.
B. The footplate helps to prevent foot drop by maintaining proper alignment of the foot and leg in Buck’s traction.
C. The footplate works to anchor the traction is incorrect; traction is anchored by weights and pulleys, not the footplate.
D. The footplate prevents pressure sores on the heel is not the primary purpose of the footplate in Buck's traction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","E"]
Explanation
A. Place a pillow under the client's head.
Rationale: This action helps to prevent head injury during a seizure by cushioning the head.
B. Place the client into a supine position.
Rationale: This is incorrect because it can increase the risk of aspiration. The client should be placed in a side-lying position to allow the mouth to drain and prevent aspiration.
C. Apply restraints.
Rationale: This is incorrect as restraints can cause injury to the client during a seizure. The nurse should instead ensure the environment is safe and free from objects that could harm the client.
D. Insert a bite stick into the client's mouth.
Rationale: This is incorrect because inserting any object into the mouth during a seizure can cause dental injury or aspiration. The jaw should not be forced open.
E. Loosen restrictive clothing.
Rationale: This action helps to prevent injury and allows for easier breathing during a seizure. It also prevents any constriction that could occur due to muscle contractions.
Correct Answer is D
Explanation
A. Advise the client to place one nitroglycerin tablet under his tongue as a precaution: Nitroglycerin is contraindicated in combination with phosphodiesterase type 5 inhibitors like tadalafil due to the risk of severe hypotension. This action could worsen the client's condition.
B. Tell the client to have someone bring him to an emergency department immediately: Skin flushing is a common side effect of tadalafil and not necessarily indicative of a medical emergency, especially in the absence of chest pain or other concerning symptoms.
C. Instruct the client to increase his intake of oral fluids until the skin flushing is relieved Increasing fluid intake is not likely to alleviate the skin flushing associated with tadalafil. This response does not address the client's concern adequately.
D. Reassure the client that skin flushing is a common side effect of the medication: Tadalafil, a phosphodiesterase type 5 inhibitor, commonly causes facial flushing as a side effect. Reassuring the client about this known side effect is appropriate, especially since he is not experiencing chest pain or other concerning symptoms.
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