A nurse cares for a client placed in skeletal traction. The client asks, “What is the primary purpose of this type of traction?” How would the nurse respond?
Skeletal traction will assist in realigning your fractured bone.
This treatment will prevent future complications and back pain.
Traction decreases muscle spasms that occur with a fracture.
This type of traction minimizes damage as a result of fracture treatment.
The Correct Answer is A
Choice A reason: Skeletal traction uses pins or wires inserted into the bone to apply controlled force, aligning fractured bones (e.g., femur) to promote proper healing. This counteracts muscle pull, ensuring anatomical alignment and reducing the risk of malunion or deformity during the healing process.
Choice B reason: While traction may reduce some complications, its primary purpose is not preventing back pain or vague future issues. It focuses on immediate fracture alignment and stabilization, addressing the acute injury rather than long-term sequelae like chronic pain.
Choice C reason: Traction reduces muscle spasms by counteracting muscle contraction around the fracture, but this is a secondary benefit. The primary purpose is bone realignment, as spasms are a symptom of misalignment rather than the main issue addressed by traction.
Choice D reason: Minimizing damage from treatment is not the primary purpose of skeletal traction. While proper application prevents complications, the main goal is to align and stabilize the fracture to facilitate healing, not merely
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D","E"]
Explanation
Choice A reason: Early ambulation post-hip arthroplasty promotes venous blood flow, reducing stasis, a key factor in Virchow’s triad for thromboembolism. Muscle contractions enhance circulation, preventing clot formation in deep veins, significantly lowering the risk of pulmonary embolism.
Choice B reason: Fluid restriction does not prevent venous thromboembolism and may increase blood viscosity, promoting clot formation. Adequate hydration supports circulation, reducing stasis, making fluid restriction counterproductive for preventing thromboembolism in postoperative clients.
Choice C reason: Quadriceps-setting exercises activate muscle pumps in the legs, promoting venous return and reducing blood stasis. This mechanical action prevents clot formation in deep veins, making it an effective intervention to lower thromboembolism risk post-surgery.
Choice D reason: Compression stockings/devices apply external pressure, enhancing venous return and preventing blood pooling in the legs. This reduces stasis, a major risk factor for deep vein thrombosis, making them a standard preventive measure post-hip arthroplasty.
Choice E reason: Anticoagulants (e.g., heparin) inhibit clot formation by interfering with the coagulation cascade, reducing the risk of thromboembolism. They are critical post-hip arthroplasty, as surgery increases clotting risk due to endothelial damage and immobility.
Correct Answer is C
Explanation
Choice A reason: Dairy products like milk and yogurt are rich in calcium, essential for bone mineralization. Calcium supports osteoblast activity, strengthening bones and preventing osteoporosis progression, making this a correct dietary choice for bone health.
Choice B reason: Green leafy vegetables like spinach provide calcium and vitamin K, which supports bone matrix formation and mineralization. Including these in the diet is beneficial for osteoporosis, as they enhance bone density, indicating correct understanding.
Choice C reason: Excessive coffee intake increases urinary calcium excretion, reducing available calcium for bone formation. Caffeine also inhibits osteoblast activity, worsening bone loss in osteoporosis, indicating a misunderstanding of dietary impacts on bone health, requiring further teaching.
Choice D reason: Taking a calcium supplement with a meal enhances absorption, as stomach acid aids calcium ionization. This supports bone mineralization in osteoporosis, reflecting correct understanding of dietary supplementation to improve bone density and prevent fractures.
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