The nurse is caring for a patient with a fracture who has a Buck's traction boot in place. The boot helps decrease which condition?
Post-traumatic arthritis
Intra-articular adhesions
Extra-articular adhesions
Muscle spasm
The Correct Answer is D
A. Post-traumatic arthritis can develop after a fracture, but Buck's traction does not directly prevent or treat arthritis. Post-traumatic arthritis is a long-term complication that is managed through other interventions such as physical therapy or joint replacement if necessary.
B. Intra-articular adhesions refer to scar tissue formation inside the joint, which is not the primary focus of Buck's traction. Buck's traction is used to immobilize the limb and reduce muscle spasm, not to address intra-articular issues.
C. Extra-articular adhesions involve the formation of scar tissue outside the joint and are not specifically targeted by Buck's traction. The primary goal of the boot is to reduce muscle spasm and maintain alignment.
D. Muscle spasm is the primary condition that Buck's traction helps decrease. The boot applies a gentle, continuous pull on the limb, which helps to alleviate muscle spasms, reduce pain, and maintain proper alignment while the fracture heals.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The P wave represents atrial depolarization. It is the electrical impulse that triggers the contraction of the atria. The P wave is the first wave in the ECG cycle and indicates the initiation of the heart's electrical activity from the sinoatrial (SA) node.
B. Ventricular depolarization is represented by the QRS complex, not the P wave. The QRS complex indicates the electrical activity that leads to the contraction of the ventricles.
C. Early ventricular repolarization is represented by the T wave, not the P wave. The T wave reflects the process of the ventricles returning to their resting state after contraction.
D. Slow repolarization of ventricular Purkinje fibers is not represented by the P wave. This process occurs during the T wave, which reflects the repolarization of the ventricles.
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"C"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"B"},"F":{"answers":"C"}}
Explanation
Obtain intravenous access: Anticipated
- Rationale: Intravenous access is essential for administering medications and fluids, especially in emergency situations.
Thoracentesis: Contraindicated
- Rationale: Thoracentesis is typically used to remove fluid from the pleural space, not air. For a pneumothorax, other interventions are more appropriate.
Prepare for insertion of a chest tube: Anticipated
- Rationale: Inserting a chest tube is a common and effective treatment for a pneumothorax to remove air from the pleural space and allow the lung to re-expand.
Obtain ABGs (Arterial Blood Gases): Anticipated
- Rationale: ABGs are important to assess the client's respiratory status and the extent of hypoxemia or hypercapnia.
Computed tomography of the chest: Non-essential
- Rationale: While a CT scan can provide detailed images, it is not immediately necessary for the diagnosis and initial management of a pneumothorax. A chest X-ray is usually sufficient.
Pulmonary function tests: Contraindicated
- Rationale: Pulmonary function tests are not appropriate in the acute setting of a pneumothorax as they can exacerbate the condition and are not useful for immediate management
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