The nurse is aware that the maximum weight that can be applied with a skin traction is

Answer and Explanation

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.

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Free Nursing Study Resources

Correct Answer is D

Explanation

A. The pads should be 1/2 to 2 inches (1.3cm to 5cm) below the axilla

This is true and helps avoid pressure on the axilla and nerves.

B. When walking, the patient will need to straighten the elbow and the wrist during weight bearing

Elbows should be slightly flexed (~15–30 degrees); straightening the elbow and wrist fully can cause injury and reduce control.

C. Resting the body's weight on the axillary bar does not put pressure on vital nerves which can occlude blood vessels in the axilla causing permanent or temporary damage

Resting on the axillary bar can compress the brachial plexus and axillary vessels, causing nerve damage or paralysis.

D. They will need to be adjusted in both overall length and from the axillary bar to the handgrip

Proper crutch fitting includes adjusting both the overall length and the handgrip height.

A. Turn their foot and leg away from their other leg B. Move their left forward and up C. Move their leg medially toward their other leg D. Move their leg behind their body

Correct Answer is D

Explanation

A. Turn their foot and leg away from their other leg

This movement is called external rotation, not hyperextension.

B. Move their leg forward and up

This action is flexion of the hip.

C. Move their leg medially toward their other leg

This describes adduction, moving the limb toward the body's midline.

D. Move their leg behind their body

Hyperextension of the hip involves moving the leg backward beyond the normal range of extension.

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The nurse is aware that the maximum weight that can be applied with a skin traction is

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Naxlex Comprehensive Predictor Exams

Axillary crutches are commonly used for short-term needs. They are adjustable to a variety of heights and are easy to use. The following statements are true pertaining to crutches except

Correct Answer is D

Explanation

A nurse stands facing a client to demonstrate active range-of-motion exercises. Which of the following actions should the nurse take to demonstrate hyperextension of the hip?

Correct Answer is D

Explanation

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:

A nurse is collecting data about a client's range of motion. Which of the following instructions should the nurse give to the client to observe hyperextension of the neck?

A nurse is observing a patient in a skilled nursing facility using a walker. The nurse concludes that the walker is at proper height if the patient's elbows are bent to which angle while the patient is upright and grasping the handgrips?

A certified nursing assistant (CNA) is assisting a patient into a wheelchair. The nurse intervenes if the CNA has:

Please indicate whether the following statement is true or false. A nurse working on the orthopedic floor understands that a gastrointestinal assessment should be done every three days.

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?

A nurse is assisting a client with range-of-motion exercises of the neck. Which of the following terms should the nurse use when documenting the client touching her chin to her chest?

A nurse is assisting with the ambulation of a client with the use of a gait belt, who becomes light-headed and begins to fall. Which of the following actions should the nurse take?