A nurse is assessing a client who has skeletal traction for a femoral fracture. The nurse notes that the weights are resting on the floor. Which of the following actions should the nurse take?

Increase the elevation of the affected extremity.

Remove one of the weights.

Tie knots in the ropes near the pulleys to shorten them.

Pull the client up in bed.

Answer and Explanation

The Correct Answer is A

A. Increasing the elevation of the affected extremity helps to relieve pressure and maintain proper alignment of the fracture. This action ensures that the traction remains effective and that the weights are properly suspended.

B. Removing weights can compromise the effectiveness of the traction and should only be done under specific orders from a healthcare provider.

C. Tying knots in the ropes can alter the alignment and effectiveness of the traction. Proper adjustment should be made by healthcare professionals according to protocol.

D. Pulling the client up in bed does not address the issue of the weights resting on the floor and may cause further complications.

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Correct Answer is ["B","C","E"]

Explanation

A. High birth weight is not a recognized risk factor for hearing loss.

B. Perforation of the eardrum can lead to hearing loss due to damage to the ear's structure and function.

C. Chronic infections of the middle ear can cause conductive hearing loss and damage to the hearing structures over time.

D. Frequent exposure to low-volume noise is less likely to cause hearing loss compared to high-volume noise exposure.

E. Use of loop diuretics can cause ototoxicity, leading to hearing loss, especially with prolonged use or high doses.

A. Spironolactone B. Desmopressin C. Diphenhydramine D. Metoclopramide

Correct Answer is C

Explanation

A. Spironolactone is a diuretic and is not used to treat allergic reactions.

B. Desmopressin is used for bleeding disorders and diabetes insipidus, not allergic reactions.

C. Diphenhydramine is an antihistamine used to treat allergic reactions such as hives and urticaria.

D. Metoclopramide is an antiemetic and is not indicated for allergic reactions.

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A nurse is assessing a client who has skeletal traction for a femoral fracture. The nurse notes that the weights are resting on the floor. Which of the following actions should the nurse take?

Nursing Test Bank

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