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.
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Related Questions
Correct Answer is C
Explanation
A. While aspirin has analgesic properties, it is not primarily used for pain relief in the case of myocardial infarction (MI). Its main role in MI is to reduce the risk of further clot formation.
B. Aspirin has anti-inflammatory properties, but in the case of MI, its primary role is not inflammation reduction but rather preventing platelet aggregation.
C. Aspirin acts as an antiplatelet aggregate, which is its key action in preventing the formation of blood clots. This is crucial for patients with a history of MI, as it helps reduce the risk of further clot-related events, such as a recurrent MI or stroke.
D. Aspirin does have antipyretic effects, but this is not the primary reason for its use in MI.
Correct Answer is D
Explanation
A. Heart murmur: While heart murmurs can occur in various cardiac conditions, they are not a hallmark finding of right-sided heart failure. Murmurs are typically associated with valvular heart disease or structural abnormalities.
B. Chest pain: Chest pain can be a symptom of various heart conditions, but it is not a typical or defining feature of right-sided heart failure.
C. Crackles in lungs: Crackles are more commonly associated with left-sided heart failure, where fluid backs up into the lungs, leading to pulmonary congestion.
D. Peripheral edema: Right-sided heart failure leads to the backup of blood in the systemic circulation, which can cause fluid retention and peripheral edema, especially in the lower extremities. This is a classic sign of right-sided heart failure.
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