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The daughter of an older woman with a diagnosis of a fractured tibia asks why her mother is in Buck's traction. The nurse's most informative response would be that Buck's traction:

allows for large traction weights to reduce the fracture.

reduces muscle spasm that accompanies fractures.

helps the bone heal slowly.

does not cause skin disruptions.

Answer and Explanation

The Correct Answer is B

A. Allows for large traction weights to reduce the fracture.

Buck's traction uses light weights (5–10 lbs) and is not used for fracture reduction, but rather to relieve symptoms.

B. Reduces muscle spasm that accompanies fractures.

Buck's traction is commonly used preoperatively to reduce muscle spasm, pain, and to align the limb temporarily.

C. Helps the bone heal slowly.

It does not influence the speed of bone healing directly. Its purpose is mainly for temporary stabilization and symptom relief.

D. Does not cause skin disruptions.

While it's less invasive than skeletal traction, skin breakdown is still a risk, especially in older adults with fragile skin.

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Correct Answer is B

Explanation

A. Warm feet and hands.

Warmth suggests good blood flow and is a normal finding.

B. Numbness of distal limb.

Numbness is a sign of neurovascular compromise, possibly from swelling or impaired circulation due to the cast.

C. Palpable peripheral pulses.

Pulses are a positive finding indicating adequate perfusion.

D. Capillary refill of 3 seconds.

Capillary refill less than or equal to 3 seconds is considered normal.

A. Locks the hydraulic valve before attaching the sling to the lift B. Leaves the bed in the lowest position throughout the procedure C. Raises the head of the bed to a sitting position just before the transfer D. Places a removable cover over the sling

Correct Answer is A

Explanation

A. Locks the hydraulic valve before attaching the sling to the lift

The hydraulic valve must be unlocked to adjust height and should only be locked after the client is securely attached and raised. Locking it before attaching the sling may indicate improper procedure or reduced safety during lifting.

B. Leaves the bed in the lowest position throughout the procedure

Leaving the bed low can be safe depending on facility protocol and prevents injury if the client or staff lose balance.

C. Raises the head of the bed to a sitting position just before the transfer

Elevating the head of the bed helps the client into a functional sitting position, making sling placement and transfer easier and safer.

D. Places a removable cover over the sling

A removable cover can enhance comfort and hygiene, especially if the sling is shared.

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The daughter of an older woman with a diagnosis of a fractured tibia asks why her mother is in Buck's traction. The nurse's most informative response would be that Buck's traction:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse performing a head to toe neurovascular check on a patient in a long leg cast notes an indication of altered perfusion as evidenced by:

Correct Answer is B

Explanation

A nurse is observing an assistive personnel (AP) who is using a mechanical lift with a hammock sling to transfer a client from the bed to a chair. For which of the following actions by the AP should the nurse intervene?

Correct Answer is A

Explanation

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