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 B
Explanation
Choice A rationale:
Laughing at a television show is not a direct indicator of the effectiveness of the warm, moist compress in relieving lower back pain.
Choice B rationale:
Intact skin on the lower back without redness indicates that the compress has been effective in preventing skin damage or irritation.
Choice C rationale:
The ability to concentrate while reading may not be a specific indicator of the effectiveness of the warm compress in relieving lower back pain.
Choice D rationale:
Vital signs within the expected reference range are important but do not directly reflect the effectiveness of the warm compress in relieving pain.
Correct Answer is A
Explanation
Choice A rationale:
Applying a bath blanket between the client and a cooling blanket helps prevent direct contact, reducing the risk of chilling or discomfort. This method facilitates gradual cooling in cases of high fever.
Choice B rationale:
Covering the client with heavy blankets after shivering subsides is not appropriate during active cooling efforts for a high fever.
Choice C rationale:
Placing ice packs on the neck and behind the knees can be too aggressive and may lead to vasoconstriction, limiting the effectiveness of heat dissipation.
Choice D rationale:
Giving a sponge bath with an alcohol-water solution is not recommended, as alcohol can lead to skin dryness and increased heat loss.
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