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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The nurse should immediately report small drops of clear fluid in the left ear to the charge nurse. This finding could indicate a cerebrospinal fluid (CSF) leak, which can occur as a result of a head injury. A CSF leak can be a serious medical condition that requires immediate attention.
An edematous bruise on the forehead, client disorientation to place, and a heart rate of 110/min and regular are also important findings that the nurse should report to the charge nurse. However, these findings are not as urgent as the presence of small drops of clear fluid in the left ear.
Correct Answer is D
Explanation
A nurse collecting data from a client who is 6 days post craniotomy for removal of an intracerebral aneurysm should monitor the client for hypertension as a manifestation of increased intracranial pressure. Increased intracranial pressure can cause changes in blood pressure, including hypertension.
Peripheral edema is not a manifestation of increased intracranial pressure. Peripheral edema is swelling in the extremities and can be caused by a variety of conditions.
Diarrhea is not a manifestation of increased intracranial pressure. Diarrhea is loose or watery stools and can be caused by a variety of conditions.
Decreased pedal pulses are not a manifestation of increased intracranial pressure. Decreased pedal pulses can indicate poor circulation to the feet and can be caused by a variety of conditions.
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