A nurse is assisting in the use of a fracture bedpan for a client who is immobile due to a cast. Which of the following actions should the nurse take?
Place the shallow end of the fracture pan under the client's buttocks
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
The Correct Answer is A
When using a fracture bedpan, it is important to position the pan correctly to provide proper support and comfort to the client. The shallow end of the fracture pan should be placed under the client's buttocks, as this end is designed to accommodate the body shape and offer a more comfortable position.
Hyperextending the client's back while the fracture pan is in place can cause discomfort, strain, or potential injury to the client. It is important to maintain a comfortable and neutral position for the client during bedpan use.
Encouraging the client to try to defecate for a specific time period, such as 20 minutes, is not recommended. It is more appropriate to allow the client adequate time and privacy to attempt to defecate without time constraints.
Keeping the bed flat while the client is on the fracture pan may not provide the optimal position for comfort and ease of use. Slight elevation of the head of the bed (Fowler's position) can provide a more comfortable position for the client during bedpan use.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The nurse's priority finding in this case would be a change in appearance of a mole on the shoulder. Changes in the appearance of moles can be an indication of skin cancer or melanoma, which is a serious and potentially life-threatening condition. It is important for the nurse to assess the mole further and report any concerning changes to the healthcare provider for appropriate evaluation and management. The other findings, such as skin tags, a flat discolored area of skin, or atrophic fingers, may require further assessment and interventions, but they are not as immediately concerning as a potential change in a mole that could indicate skin cancer.
Correct Answer is A
Explanation
When a client is at risk for thrombus formation (formation of blood clots), it is important to promote circulation and prevent blood stasis. Regular leg exercises help to promote blood flow and prevent the formation of blood clots. Performing leg exercises once every 4 hours while awake is a good approach to maintaining circulation.
Massaging the legs when they hurt may provide temporary relief, but it does not address the underlying risk of thrombus formation. Massage should not be relied upon as the primary method of preventing blood clots.
Crossing the legs while sitting can impede blood flow and increase the risk of blood clot formation. It is important to encourage the client to avoid crossing their legs and to maintain proper leg positioning to promote circulation.
Limiting the time spent sitting in a chair is a valid consideration for promoting circulation and reducing the risk of blood clots. However, it does not provide a clear understanding of how often the client should perform leg exercises or the specific actions to take while sitting.
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