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.
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
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Providing reassurance that hair loss is not usually permanent offers the client some comfort during a challenging time. Informing her that the color and texture may change when it grows back prepares her for potential differences in her hair's appearance post-chemotherapy. This response acknowledges the temporary nature of chemotherapy-induced hair loss while also being honest about the possibility of changes, which helps manage the client's expectations effectively.
Choice B reason: Stating that "people with cancer react differently to chemotherapy" is true, but it is not the most supportive or informative response. It may leave the client feeling uncertain and anxious about the outcome. Providing more specific information about hair regrowth, as in choice A, is more helpful in addressing the client's concerns and providing reassurance.
Choice C reason: While acknowledging that wigs are available is practical, focusing on the possibility that hair might not grow back can be disheartening for the client. It is important to offer hope and positivity where possible, and emphasizing the usual pattern of hair regrowth, as in choice A, is a more supportive approach. If the client does have concerns about wigs, this can be discussed separately.
Choice D reason: Indicating that hair regrowth depends on the amount of drug received is somewhat accurate but lacks the reassurance and positivity provided in choice A. It is important to give the client a clearer understanding that, in most cases, hair loss from chemotherapy is temporary, and hair will generally grow back. This helps alleviate some of the stress associated with the treatment.
Correct Answer is C
Explanation
Choice A reason: Lymph nodes are important components of the immune system and play a crucial role in filtering harmful substances and housing lymphocytes. While HIV/AIDS can affect lymph nodes, it is not the primary target of the virus.
Choice B reason: The spleen is another vital organ in the immune system that helps filter blood and fight infections. However, it is not the specific target of HIV.
Choice C reason: T cells, specifically CD4+ T cells, are the main target of HIV (the virus that causes AIDS). HIV infects and destroys these cells, leading to a weakened immune system. The progressive loss of CD4+ T cells impairs the body's ability to fight off infections and certain cancers, which is characteristic of AIDS.
Choice D reason: B cells are responsible for producing antibodies and play a key role in the humoral immune response. While HIV/AIDS can indirectly impact B cell function due to the overall compromised immune system, B cells are not the primary cells affected by the virus.
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