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 ["A","B","D","E"]

Explanation

Choice A reason: Nasogastric suction reduces intestinal distention, which can help alleviate abdominal pressure and pain.

Choice B reason: Eliminating oral intake and gastric suction reduces gastric secretion, decreasing stimulation of the pancreas.

Choice C reason: Monitoring intake and output is important but not a direct treatment for pancreatitis.

Choice D reason: Nasogastric decompression helps alleviate nausea and vomiting, which are common symptoms of pancreatitis.

Choice E reason: Reduction of gastric secretions that stimulate pancreatic enzymes directly addresses the cause of pancreatitis.

A. Droplet precautions B. Contact precautions C. Standard precautions are only necessary as there is no risk of transmission. D. Airborne precautions

Correct Answer is B

Explanation

Choice A reason (precautions): Droplet precautions are not the primary recommendation for Hepatitis A, as it is not primarily spread through droplets.
Choice B reason (precautions): Contact precautions are recommended for patients with Hepatitis A due to the risk of fecal-oral transmission, especially in a patient with incontinence.
Choice C reason (precautions): While standard precautions are always necessary, they are not sufficient alone for Hepatitis A, which requires additional precautions due to its mode of transmission.
Choice D reason (precautions): Airborne precautions are not required for Hepatitis A, as it is not spread through the air.

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

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Naxlex Comprehensive Predictor Exams

A client with acute pancreatitis comes in with severe abdominal pain. The doctor orders NPO and an NG-tube. The nurse knows that NPO status and nasogastric tube patency will help treat pancreatitis by: (Select all that apply)

Correct Answer is ["A","B","D","E"]

Explanation

You are admitting a client from a long-term care facility with a new diagnosis of Hepatitis A. He has a history of a cerebral vascular accident (CVA) that has left him incontinent of both urine and stool. Which of the following is the most appropriate level of precautions?

Correct Answer is B

Explanation

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

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