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A 46-year-old male was injured in an industrial accident and has suffered a fractured left leg and left wrist. His wrist is treated with a cast and the leg is placed in skeletal traction. Because of immobilization of his leg, the patient is at risk for (Select all that apply.)

venous thrombosis.

pressure injury.

foot drop.

generalized edema.

constipation.

Answer and Explanation

Correct Answer : A,B,C,E

A. Venous thrombosis.

Immobility increases the risk of deep vein thrombosis (DVT) due to venous stasis in the lower extremities.

B. Pressure injury.

Prolonged immobility and pressure on bony prominences elevate the risk of skin breakdown and ulcers.

C. Foot drop.

Prolonged immobilization without proper foot support can cause plantar flexion contractures, known as foot drop.

D. Generalized edema.

While localized edema near the injury is expected, generalized edema is not typically associated with traction.

E. Constipation.

Decreased physical activity and possible pain medications (like opioids) contribute to constipation in immobilized patients.

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Correct Answer is A

Explanation

A. Hold the crutches on your unaffected side when preparing to sit in a chair

This helps maintain balance and control while transitioning from standing to sitting.

B. Hold the crutches 9 inches in front and to the side of each foot

The correct placement is approximately 6 inches (not 9) in front and 6 inches to the side of each foot for stability.

C. Lean on the crutches to support your body weight when standing

Weight should be supported by the hands on the handgrips, not the axillae, to avoid nerve injury (e.g., brachial plexus damage).

D. Fully extend your arms when holding onto the hand grips

The elbows should be slightly flexed (about 20-30 degrees) to allow proper support and shock absorption.

A. palms only. B. palms and flat parts of fingers. C. fingertips and flat parts of fingers. D. fingertips and palms.

Correct Answer is A

Explanation

A. Palms only.

Using palms distributes pressure evenly and prevents indentations in the wet cast that could lead to pressure sores.

B. Palms and flat parts of fingers.

Using palms is safest; fingers can still create indentations if not careful.

C. Fingertips and flat parts of fingers.

Fingertips can leave dents in the soft plaster, which may cause pressure points and skin breakdown once the cast hardens.

D. Fingertips and palms.

Fingertips should be avoided entirely when handling a fresh cast.

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A 46-year-old male was injured in an industrial accident and has suffered a fractured left leg and left wrist. His wrist is treated with a cast and the leg is placed in skeletal traction. Because of immobilization of his leg, the patient is at risk for (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in an emergency department is providing discharge teaching to a client who has a knee injury and will be using a pair of axillary crutches for the first time. Which of the following instructions should the nurse include?

Correct Answer is A

Explanation

When handling a freshly applied plaster cast while assisting a patient from stretcher to bed, the nurse should handle the cast using:

Correct Answer is A

Explanation

A patient has just had a leg cast applied with plaster of Paris. The nurse can best reduce the incidence of edema by:

The nurse working in the medical-surgical unit, is caring for a patient that had knee surgery. She notices that the incision on the knee is opening each time the CPM is at its maximum angle. The patient is also complaining of tightness around the sutures. She should

A nurse is collecting data from a client who has had paraplegia for several years. Which of the following physiologic changes due to immobility should the nurse consider when evaluating this client's overall status? (Select all that apply.)

Please indicate whether the following statement is true or false. Air fluidized beds use tiny metal beads that are contained within the bed under a flexible, air-permeable filter sheet.

The nurse designs care for the immobilized patient to help combat the major dangers of immobilization, which include: Select all that apply.

A nurse is assisting a client who has received crutches in an urgent care center following a foot injury. Which of the following statements should the nurse identify as an indication that the client needs further reinforcement of teaching?

The nurse explains that range of motion exercises are necessary so that movement improves venous circulation by:

A patient who fractured a leg several weeks ago is scheduled for cast removal after he returns home. The nurse should explain to the patient to expect the skin underneath the cast to appear: