Which assessment finding should the nurse expect to observe when evaluating the effectiveness of Buck's traction for a patient who has an intracapsular fracture of the right femur?

A. Visible signs of bone healing on an X-ray.

Increased swelling and redness in the right hip.

Improved range of motion in the right hip.

Decrease in hip pain.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Visible signs of bone healing on an X-ray would not be expected after Buck's traction. Healing takes longer to become visible on an X-ray.

Choice B rationale

Increased swelling and redness would indicate complications such as infection or thrombophlebitis, not the effectiveness of traction.

Choice C rationale

Improved range of motion would not typically be expected while Buck's traction is in place. The primary purpose is to reduce pain and immobilize the fracture.

Choice D rationale

Decrease in hip pain is a direct indicator of the effectiveness of Buck's traction in alleviating symptoms and preventing further injury to the fractured femur.

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Correct Answer is C

Explanation

Choice A rationale

Fluticasone is a corticosteroid used to manage asthma and COPD symptoms and does not typically require clarification.

Choice B rationale

Furosemide is a diuretic used to manage fluid overload in heart failure and does not require clarification.

Choice C rationale

Carvedilol is a non-selective beta-blocker that can exacerbate asthma symptoms and bronchospasm. It should be avoided in clients with a history of asthma.

Choice D rationale

Isosorbide dinitrate is a nitrate used to manage angina and heart failure and does not require clarification.

A. Increase the client's fluid intake to prevent dehydration. B. Administer prescribed diuretics to reduce fluid overload. C. Apply warm compresses to the lower extremities to reduce edema. D. Encourage the client to ambulate to improve circulation.

Correct Answer is B

Explanation

Choice A rationale

Increasing fluid intake is contraindicated in clients with fluid overload, such as those with bilateral lower extremity edema and lung crackles. It can worsen the condition.

Choice B rationale

Administering prescribed diuretics is the priority intervention to reduce fluid overload in clients with heart failure post-STEMI. It helps to decrease edema and pulmonary congestion.

Choice C rationale

Applying warm compresses to the lower extremities may provide temporary relief but does not address the underlying issue of fluid overload.

Choice D rationale

Encouraging ambulation is beneficial for overall health but is not a priority intervention for managing fluid overload in this context. .

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Which assessment finding should the nurse expect to observe when evaluating the effectiveness of Buck's traction for a patient who has an intracapsular fracture of the right femur?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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