A client is in Buck's traction after fracturing his right hip. Which action should the nurse include in the care plan?

Maintaining the bed in the knee gatch position

Removing the weights once every shift

Maintaining correct body alignment

Keeping the client in semi-Fowler's positions

Answer and Explanation

The Correct Answer is C

Rationale:
A. Elevating the knee gatch (bending the knee portion of the bed) can interfere with the effectiveness of traction and should be avoided.
B. Weights should never be removed unless prescribed by the healthcare provider, as doing so can disrupt traction and harm the patient.
C. Maintaining correct body alignment ensures the traction is effective and helps prevent complications, such as muscle spasm or nerve compression. This is a key part of Buck's traction care.
D. Prolonged semi-Fowler's position can promote hip flexion and compromise the effectiveness of traction. Flat or low Fowler’s position is generally preferred.

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Correct Answer is B

Explanation

Rationale:
A. Perineal edema is not a common or primary sign associated with benign prostatic hypertrophy (BPH).
B. Distention of the lower abdomen indicates urinary retention, which is a common complication of BPH due to obstruction of urine flow.
C. Chest pain radiating to the groin is not related to BPH; it may suggest cardiac or vascular issues.
D. Urethral discharge is more indicative of infection or sexually transmitted diseases, not BPH.

A. Elevated hemoglobin level B. Decreased bone mineral density C. Bradycardia and hypotension D. Increased gastric acid production

Correct Answer is B

Explanation

Rationale:
A. Elevated hemoglobin is not a known complication of long-term pantoprazole use.
B. Long-term use of proton pump inhibitors (PPIs) like pantoprazole can lead to decreased calcium absorption, increasing the risk for decreased bone mineral density and fractures. This is a recognized potential complication.
C. Bradycardia and hypotension are not common side effects associated with pantoprazole.
D. Pantoprazole reduces gastric acid production; it does not increase it. Rebound acid hypersecretion may occur after stopping the drug abruptly, but not during its use.

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A client is in Buck's traction after fracturing his right hip. Which action should the nurse include in the care plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When admitting a client with benign prostatic hypertrophy, the most relevant assessment made by the nurse is

Correct Answer is B

Explanation

A nurse is reviewing the chart of a client who has been taking pantoprazole (Protonix) daily for over a year. Which of the following findings should the nurse recognize as a potential complication of long-term therapy?

Correct Answer is B

Explanation

The nurse reviews the laboratory test results for a client diagnosed with leukemia who is receiving chemotherapy. The nurse notes that the client's platelet count is 20,000 cells/mm3(reference range 150,000 - 450,000). The nurse should prepare to implement a specific action based on this finding.

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