Which nursing intervention is appropriate for a client with skeletal traction?

Pin site care

Five-pound weight lifting restriction

Prone positioning

Intermitent weights

Answer and Explanation

The Correct Answer is A

Choice A reason: Pin site care is essential for a client with skeletal traction to prevent infection and ensure proper healing.

Choice B reason: A five-pound weight lifting restriction is not related to the care of a client with skeletal traction.

Choice C reason: Prone positioning is not typically recommended for clients with skeletal traction as it may interfere with the traction setup.

Choice D reason: Intermitent weights are not a standard intervention for skeletal traction, which requires consistent and controlled application of force.

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Correct Answer is C

Explanation

Choice A reason: While it is important to address any questions the patient may have, it is not the highest priority before an IVP procedure.

Choice B reason: Asking the patient to void before the procedure is a standard practice, but it is not the highest priority. The bladder should be empty to allow for clear imaging, but this can be managed at the time of the procedure.

Choice C reason: Checking for an allergy to iodine or shellfish is the highest priority because the contrast medium used in an IVP can cause severe allergic reactions in patients with these allergies. This assessment must be done before administering the contrast to prevent potentially life-threatening complications.

Choice D reason: Assessing the client's ability to remain still is important for the quality of the images, but it is not as critical as ensuring the safety of the patient regarding potential allergic reactions.

A. Pre-Renal B. Super-secret double renal failure C. Post-Renal D. Intra-Renal

Correct Answer is D

Explanation

Choice A reason: Pre-Renal failure is caused by factors external to the kidneys, typically involving reduced blood ﬂow or hydration aﬀecting kidney function. Gentamicin does not typically cause this type of failure.
Choice B reason : 'Super-secret double renal failure' is not a medically recognized type of renal failure.
Choice C reason : Post-Renal failure is due to obstruction of urine ﬂow from the kidneys, which is not typically associated with Gentamicin use.
Choice D reason : Intra-Renal failure, also known as intrinsic renal failure, is caused by direct damage to the kidneys themselves. Gentamicin can cause acute kidney injury due to its nephrotoxic eﬀects, leading to Intra-Renal failure.

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Which nursing intervention is appropriate for a client with skeletal traction?

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who is going to have an intravenous pyelogram (IVP) using a contrast medium. Which of the following assessments by the nurse are of the highest priority?

Correct Answer is C

Explanation

A client with severe sepsis related to an untreated rectal/vaginal fistula is admited to the ﬂoor. She has received two doses of Gentamicin. As luck would have it, she is now in acute renal failure. Which type of renal failure did the Gentamicin cause?

Correct Answer is D

Explanation

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