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A nurse is teaching an older adult client who has an intracapsular fracture of the right hip following a fall about the purpose of Buck's extension traction. The nurse should include which of the following information in the teaching?

Buck's extension traction will relieve muscle spasms.

Buck's extension traction will allow supported movement of the extremity.

Buck's extension traction will maintain alignment of the pins.

Buck's extension traction will reduce the fracture.

Answer and Explanation

The Correct Answer is A

A. Buck's traction is commonly used to relieve muscle spasms and provide pain relief before surgical repair.

B. It does not allow movement of the extremity but rather limits movement to reduce pain.

C. Buck's traction does not involve pins, so alignment of pins is not relevant.

D. It does not reduce fractures but helps to maintain alignment and comfort until surgery.

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Correct Answer is ["A","B","D"]

Explanation

A. Maintaining a healthy weight can reduce abdominal pressure, which may alleviate symptoms.

B. Sleeping with the head of the bed elevated helps prevent acid reflux, a common symptom of hiatal hernia.

C. Lying down after meals can worsen reflux, so it should be avoided.

D. Reducing caffeine and spicy foods can help minimize irritation of the stomach lining and reduce reflux symptoms.

E. Reducing fluid intake is unnecessary; fluids do not contribute to hiatal hernia symptoms.

A. The client opens his eyes when spoken to. B. The client is unable to make vocal sound. C. The client is unconscious. D. The client can follow simple motor commands.

Correct Answer is A

Explanation

A. A GCS score of 3 for eye opening indicates that the client does not open their eyes spontaneously, while a score of 5 for best verbal response suggests that they can respond verbally, likely indicating that they can open their eyes when spoken to or when commanded. This conclusion aligns with the score of 5 for verbal response, which indicates a higher level of responsiveness.

B. This option is incorrect because a score of 5 for best verbal response indicates that the client can produce vocal sounds, meaning they are capable of making verbal responses.

C. While the eye opening score of 3 suggests significant impairment, the overall GCS score of 13 (3 + 5 + 5) does not support the conclusion that the client is completely unconscious. The presence of verbal and motor responses indicates some level of consciousness.

D. This conclusion is incorrect because a score of 5 for best motor response suggests that the client can follow commands and respond to stimuli, which is inconsistent with being unable to follow commands.

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A nurse is teaching an older adult client who has an intracapsular fracture of the right hip following a fall about the purpose of Buck's extension traction. The nurse should include which of the following information in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has a hiatal hernia about dietary recommendations. Which of the following statements indicates an understanding of the teaching? (Select All that Apply.)

Correct Answer is ["A","B","D"]

Explanation

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Correct Answer is A

Explanation

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