Which nursing intervention is appropriate for a client with skeletal traction?
Pin site care
Five-pound weight lifting restriction
Prone positioning
Intermitent weights
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: A PR interval of 0.04-0.20 seconds is too broad and includes values that are both below and above the normal range.
Choice B reason: A PR interval of 0.12-0.20 seconds is the established normal range for adults, reflecting proper conduction through the AV node.
Choice C reason: The PR interval being less than half the R-to-R ratio is not a standard measurement for PR intervals and does not provide a specific range.
Choice D reason: A PR interval of 0.08-0.10 seconds is below the normal range and may suggest pre-excitation or an AV nodal (junctional) rhythm.
Correct Answer is A
Explanation
Choice A reason: Asking about numbness or tingling is important to rule out neurological issues that could be causing the neck pain.
Choice B reason: While heat and cold therapy may provide relief, it is not the first action to take before assessing the cause of the pain.
Choice C reason: Providing information about exercises is helpful but should come after an initial assessment.
Choice D reason: Teaching about NSAIDs is part of pain management but should follow an assessment of symptoms and potential causes.
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