An older adult client in an orthopedic unit has an intracapsular fracture of the right hip following a fall. The client is in Buck's traction and will have hip prosthesis surgery in the morning. The nurse should reinforce with the client that this type of traction promotes which of the following outcomes?
Reduction of the fracture
Support for moving the extremity
Alignment of the pins
Relief from muscle spasms
The Correct Answer is D
The nurse should reinforce to the client that Buck's traction promotes relief from muscle spasms. Buck's traction is a type of skin traction that is widely used for fractures of the femur and hip². It uses splints, bandages, and adhesive tapes to position a limb near the fracture and then applies pressure using weights and pulleys². One of the goals of Buck's traction is to lessen or eliminate muscular spasms¹.
Reduction of the fracture is not the primary purpose of Buck's traction.
Support for moving the extremity is not a primary outcome of Buck's traction.
Alignment of the pins is not applicable to Buck's traction as it does not involve inserting pins into the bone.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The first action the nurse should take is to test the drainage for glucose. Clear drainage from the nose following a basal skull fracture could indicate a cerebrospinal fluid (CSF) leak. CSF contains glucose, so testing the drainage for glucose can help determine if it is CSF.
Taking the client's temperature is not the first action the nurse should take.
Notifying the charge nurse is important but not the first action the nurse should take.
Placing a dressing under the client's nose is not the first action the nurse should take.
Correct Answer is D
Explanation
An appropriate conclusion based on this data is that the client opens his eyes when spoken to. A GCS score of 3 for eye-opening indicates that the client opens his eyes in response to voice.
The client is not unconscious, as a GCS score of 3 for eye-opening indicates that the client is able to open his eyes in response to voice. The client is not unable to make vocal sounds, as a GCS score of 5 for best verbal response indicates that the client is able to make vocal sounds. The client may or may not be able to follow simple motor commands, as a GCS score of 5 for best motor response indicates that the client is able to localize pain.
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