A nurse is assisting in the fixation of a fracture bedpan for a client who is immobile due to a cast. Which of the following actions should the nurse take?
Hyperextend the client's back while the fracture pan is in place.
Encourage the client to try to defecate for 20 min while on the fracture pan.
Keep the bed flat while the client is on the fracture pan.
Place the shallow end of the fracture pan under the client's buttocks.
The Correct Answer is D
Choice A rationale:
Hyperextending the client's back is not necessary and may cause discomfort or harm. Proper positioning is essential for the client's comfort and safety.
Choice B rationale:
Encouraging the client to try to defecate for an extended period may lead to unnecessary strain and discomfort. It's important to promote optimal conditions for toileting without excessive strain.
Choice C rationale:
Keeping the bed flat while the client is on the fracture pan is a correct action. Maintaining the bed's flat position facilitates proper use of the fracture pan and enhances the client's comfort.
Choice D rationale:
Placing the shallow end of the fracture pan under the client's buttocks is the correct way to position the pan for effective use. Proper use of the fracture pan is essential for its intended function in clients with immobility or limited mobility due to a cast.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Recapping the needle before disposal is not recommended due to the risk of needlestick injuries.
Choice B rationale:
Placing the needle on the bedside table poses a safety risk and is not an appropriate action.
Choice C rationale:
Discarding the needle in a puncture-proof container is the correct action for safe disposal.
Choice D rationale:
Removing the needle from the syringe may be necessary for disposal but should be done carefully and in accordance with safety protocols.
Correct Answer is B
Explanation
Choice A rationale:
Scheduling a support session for the client is important for emotional support but is not the priority before addressing the client's immediate communication needs.
Choice B rationale:
Reviewing the use of an artificial larynx with the client is the priority. Total laryngectomy involves the removal of the larynx, affecting speech. Providing information on alternative methods of communication, such as an artificial larynx, is crucial before the surgery.
Choice C rationale:
Determining the client's reading ability is relevant but does not take precedence over preparing the client for immediate postoperative communication.
Choice D rationale:
Explaining the techniques of esophageal speech can be part of the client education but is not the priority before addressing the immediate need for communication.
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