The nurse is aware that the maximum weight that can be applied with a skin traction is
35
25
15
5
The Correct Answer is D
A. 35
35 pounds is too much for skin traction. That much weight can damage the skin and soft tissues.
B. 25
While closer, 25 pounds is above the recommended limit for skin traction. Excessive weight may lead to skin breakdown.
C. 15
Though this might be used occasionally, it’s still considered on the higher side and usually reserved for very short-term use.
D. 5
The recommended weight for skin traction is 5–7 pounds, because the skin and soft tissues cannot tolerate heavier loads.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "Keep your head straight and turn it as far as possible to either side."
This is rotation, not hyperextension.
B. "Move your head from the upright position back as far as you can."
This describes hyperextension, which is the movement of the head beyond the neutral upright position.
C. "Move your head so that your chin rests on your chest."
This is flexion, not hyperextension.
D. "Move your head laterally towards your right and left shoulder."
This describes lateral flexion, not hyperextension.
Correct Answer is ["A","B","C","E"]
Explanation
A. Venous thrombosis.
Immobility increases the risk of deep vein thrombosis (DVT) due to venous stasis in the lower extremities.
B. Pressure injury.
Prolonged immobility and pressure on bony prominences elevate the risk of skin breakdown and ulcers.
C. Foot drop.
Prolonged immobilization without proper foot support can cause plantar flexion contractures, known as foot drop.
D. Generalized edema.
While localized edema near the injury is expected, generalized edema is not typically associated with traction.
E. Constipation.
Decreased physical activity and possible pain medications (like opioids) contribute to constipation in immobilized patients.
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