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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. False

The statement is false because all listed effects are known complications of prolonged immobilization.

A. Log rolling every 2 hr B. Passive range-of-motion exercises of the right leg C. Active range-of-motion exercises of the left leg D. Isometric exercises of both legs

Correct Answer is D

Explanation

A. Log rolling every 2 hr

Log rolling is appropriate for spinal precautions, not necessary in Buck’s traction.

B. Passive range-of-motion exercises of the right leg

The leg in traction must remain immobilized; no ROM exercises on the affected leg.

C. Active range-of-motion exercises of the left leg

While this can help prevent deconditioning, it’s not as effective for overall mobility as isometric exercises.

D. Isometric exercises of both legs

Isometric exercises (e.g., quad or glute squeezes) promote circulation and prevent muscle atrophy in both limbs without disturbing traction.

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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

Please indicate whether the following statement is true or false. Decreased muscle mass, muscle tension, shortening of muscles, and loss of calcium are not effects of immobilization.

Correct Answer is A

Explanation

A nurse is caring for a client whose right leg is in Buck's traction. Which of the following should the nurse implement to promote mobility?

Correct Answer is D

Explanation

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