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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 B

Explanation

A. Obtaining a dietary history is relevant for ongoing management but is not the initial priority.

B. Reviewing electrolyte values is essential because exacerbations of ulcerative colitis can lead to severe fluid and electrolyte imbalances, which need prompt correction.

C. Investigating emotional concerns is important but does not take precedence over addressing potential electrolyte imbalances that can be life-threatening.

D. Checking perianal skin integrity is relevant for comfort but is not the priority in stabilizing the client during an acute exacerbation.

A. "DIC is controllable with lifelong heparin usage." B. "DIC is caused by abnormal coagulation involving fibrinogen." C. "DIC is a genetic disorder involving a vitamin K deficiency." D. "DIC is characterized by an elevated platelet count."

Correct Answer is B

Explanation

A. Lifelong heparin usage is not the standard treatment for DIC, as treatment focuses on addressing the underlying cause and managing symptoms.

B. DIC is a condition characterized by abnormal, excessive coagulation involving the use of clotting factors, particularly fibrinogen, leading to widespread clotting and bleeding.

C. DIC is not a genetic disorder or directly related to vitamin K deficiency.

D. DIC typically leads to a decreased platelet count due to consumption of platelets in widespread clotting, not an elevated count.

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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

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