A client with a fractured femur is placed in Buck's traction to immobilize the fracture. When transporting this client to another room, how should the practical nurse (PN) handle the traction?

Have someone hold the weights up during transport.

Prevent movement of the weights by resting them on top of the bed until the transport is completed.

Release the weights during transport and reconnect them when the transport is completed.

Leave the weights in place during transport.

Answer and Explanation

The Correct Answer is D

Choice A reason: Having someone hold the weights up during transport is not recommended. Buck's traction relies on the consistent pull of the weights to maintain the proper alignment of the fracture. Holding the weights during transport would disrupt the continuous traction and could cause misalignment or exacerbate the injury. It is crucial to maintain the integrity of the traction system during transport.
Choice B reason: Preventing movement of the weights by resting them on top of the bed until the transport is completed is also not advisable. This action would negate the purpose of the traction by removing the continuous pull required to keep the fracture immobilized. Resting the weights on the bed would result in a loss of traction, potentially leading to complications in the healing process.
Choice C reason: Releasing the weights during transport and reconnecting them when the transport is completed is not appropriate. Temporarily removing the traction could cause significant discomfort to the client and disturb the alignment of the fracture. The stability provided by continuous traction is essential for the proper healing of the fracture, and interruptions can lead to adverse outcomes.
Choice D reason: Leaving the weights in place during transport is the best practice. Buck's traction is designed to provide a consistent and gentle pulling force to maintain the alignment of the fracture. The weights should remain in place to ensure the traction is effective throughout the transport process. Proper care should be taken to handle the traction system carefully and avoid any jarring movements that could impact the client's condition.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

Choice A reason: While respiratory rate is an important vital sign to monitor, changes in respiratory rate are not the most critical indicator of an imminent complication related to an abdominal aneurysm. Respiratory rate can be influenced by various factors such as pain, anxiety, or underlying respiratory conditions. However, it does not directly correlate with the risk of aneurysm rupture, which is the primary concern in clients with an abdominal aneurysm.
Choice B reason: Urinary output is an important indicator of renal function and overall fluid balance. However, changes in urinary output are not the most immediate concern in the context of an abdominal aneurysm. While it is essential to monitor urine output to ensure adequate kidney function, it is not the primary parameter that would signal an imminent complication or rupture of the aneurysm.
Choice C reason: Temperature can provide valuable information about the presence of an infection or systemic inflammation. However, changes in temperature are not directly related to the risk of aneurysm rupture. Although an elevated temperature may warrant further investigation, it is not the most critical finding to report in the context of an abdominal aneurysm.
Choice D reason: Blood pressure is the most important assessment finding to monitor and report in a client with an abdominal aneurysm. Elevated blood pressure can increase the risk of aneurysm rupture due to the added stress on the arterial wall. Conversely, a sudden drop in blood pressure can indicate a potential rupture or internal bleeding, which is a medical emergency. Monitoring and reporting changes in blood pressure are crucial in providing timely interventions to prevent or address complications related to an abdominal aneurysm.

A. Aldosterone levels. B. Cortisol levels. C. Thyroxine levels. D. Insulin levels.

Correct Answer is B

Explanation

Choice A reason: Aldosterone is a hormone produced by the adrenal cortex that helps regulate sodium and potassium levels in the body. While aldosterone levels can indicate adrenal function, they are not as commonly used as cortisol levels in diagnosing adrenal cortex failure. Aldosterone regulation is also influenced by the renin-angiotensin-aldosterone system, making it a less direct indicator of overall adrenal cortex function compared to cortisol.
Choice B reason: Cortisol is a glucocorticoid hormone produced by the adrenal cortex and plays a vital role in regulating metabolism, immune response, and stress. Measuring cortisol levels is a primary method for assessing adrenal cortex function. Low cortisol levels can indicate adrenal insufficiency or failure, such as in conditions like Addison's disease. Evaluating cortisol levels provides a direct assessment of the adrenal gland’s ability to produce essential hormones necessary for the body's normal functioning.
Choice C reason: Thyroxine (T4) is a hormone produced by the thyroid gland, not the adrenal cortex. It plays a crucial role in regulating metabolism, growth, and development. While thyroxine levels are important for thyroid function assessment, they do not directly reflect the functioning of the adrenal gland. Therefore, thyroxine levels are not relevant in diagnosing adrenal cortex failure.
Choice D reason: Insulin is a hormone produced by the pancreas and is essential for regulating blood glucose levels. It is not related to the adrenal cortex. Monitoring insulin levels is important for diagnosing and managing diabetes mellitus but does not provide information about the functioning of the adrenal gland. Insulin levels are not used to assess adrenal cortex function.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A client with a fractured femur is placed in Buck's traction to immobilize the fracture. When transporting this client to another room, how should the practical nurse (PN) handle the traction?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When providing preoperative care for a client with an abdominal aneurysm, changes in which assessment finding are most important for the practical nurse (PN) to report to the registered nurse (RN)?

Correct Answer is D

Explanation

The practical nurse (PN) is providing care for a client suspected of adrenal cortex failure. Which laboratory value would indicate the functioning of the adrenal gland?

Correct Answer is B

Explanation

A client is recovering from a transurethral prostatectomy. Which activity should the practical nurse (PN) reinforce with the client to limit until after the first postoperative visit?

The practical nurse (PN) is caring for a client who has a fractured right tibia and fibula. To reduce swelling and promote comfort, the PN should place the client in which position?

A client is diagnosed with a seizure disorder and is completing testing before discharge from the healthcare facility. What information should the practical nurse (PN) reinforce to avoid the incidence of seizure episodes? Select all that apply.

A client is receiving a unit of packed red blood cells (PRBCs). Which is the first action the practical nurse (PN) should take if the client begins to shake and reports feelings of nausea and vomiting?

The practical nurse (PN) is assigned to care for a client with Guillain-Barré syndrome (GBS). Which problem has the highest priority for this client's care?

After administering carbamazepine to a client with trigeminal neuralgia, which finding indicates to the practical nurse (PN) that the medication has produced the desired outcome?