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 ["A","C","D"]

Explanation

A. Enlarged distal extremities, such as enlarged hands and feet, are a classic sign of acromegaly. This occurs due to excess growth hormone, leading to the growth of bones and soft tissues.
B. Loss of color discrimination is not typically associated with acromegaly. This symptom is more commonly linked to other conditions, such as optic nerve disorders or macular degeneration.
C. Hepatomegaly, or an enlarged liver, is a common manifestation of acromegaly. The excess growth hormone can affect various organs, including the liver, causing them to enlarge.
D. Coarse facial features are another hallmark sign of acromegaly. The excess growth hormone causes the bones of the face, such as the jaw, nose, and brow, to enlarge, resulting in a more pronounced and coarse appearance.
E. Moon face is a characteristic of Cushing's syndrome, not acromegaly. It refers to a round, puffy face caused by excess cortisol, not growth hormone.

A. Auscultate heart tones. B. Determine if pain radiates to the left arm. C. Perform a 12-lead ECG. D. Check the client's blood pressure.

Correct Answer is C

Explanation

A. Auscultating heart tones can provide information about heart sounds, such as murmurs or rubs, but it is not the most effective method for diagnosing a myocardial infarction (MI).
B. Determining if the pain radiates to the left arm can help assess for MI, as pain radiating to the left arm is a common symptom of an MI. However, this alone is not sufficient to confirm the diagnosis.
C. A 12-lead ECG is the most definitive tool for diagnosing a myocardial infarction. It can detect changes in the heart's electrical activity that are characteristic of an MI, such as ST-segment elevation or depression.
D. Checking the client's blood pressure is important for overall assessment, but it is not specific for diagnosing a myocardial infarction. Blood pressure may be elevated or decreased in an MI, but it does not provide conclusive evidence of the condition.

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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 client who is being evaluated for acromegaly. Which of the following manifestations should the nurse expect to find during assessment? (Select all that apply.)

Correct Answer is ["A","C","D"]

Explanation

A nurse is caring for a client who reports a new onset of severe chest pain. Which of the following actions should the nurse take to determine if the client is experiencing a myocardial infarction?

Correct Answer is C

Explanation

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