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

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. A low-sodium diet is not appropriate for a child with Addison's disease. In fact, children with Addison's disease often require higher sodium intake due to the adrenal glands' inability to produce aldosterone, which regulates sodium balance.
B. Cortisol replacement therapy is essential for children with Addison's disease because the condition involves insufficient production of cortisol, a hormone vital for stress response and metabolism. Teaching parents about this therapy is a key nursing intervention to ensure proper management of the disease.
C. Hyperglycemia is not a primary concern in Addison's disease. In fact, the disease is more often associated with hypoglycemia due to low cortisol levels. Therefore, discussing hyperglycemia is not a priority in this case.
D. Fluid volume excess is not typically a concern in Addison's disease. In fact, due to aldosterone deficiency, patients are more prone to dehydration and hypotension, so monitoring for fluid volume deficit is more appropriate.

A. A fat embolism B. Osteomyelitis C. Compartment syndrome D. A pressure ulcer

Correct Answer is C

Explanation

A. A fat embolism typically presents with respiratory distress, altered mental status, and petechial rash, not the symptoms of pale and cool toes with intact pulses. It is unlikely to cause localized pain in the toes alone.
B. Osteomyelitis is an infection of the bone and would not cause the pale, cool appearance of the toes in this scenario. Symptoms of osteomyelitis include fever, localized pain, and swelling, but it does not present with the same vascular and neurovascular changes as compartment syndrome.
C. Compartment syndrome occurs when there is increased pressure within a muscle compartment, leading to reduced blood flow. The symptoms of pale, cool toes with pain and intact pulses are indicative of impaired circulation due to increased pressure, which is a hallmark of compartment syndrome. This is a medical emergency that requires prompt intervention.
D. A pressure ulcer typically presents with localized skin damage due to prolonged pressure, but it would not cause pale, cool toes or pain in the way compartment syndrome would.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a child who has Addison's disease. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A patient with a long leg cast reports pain in the toes. The nurse discovers that the toes are pale and cool to the touch with intact pulses and minimal neuropathy. The findings indicate that the patient may be experiencing which complications?

Correct Answer is C

Explanation

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