A nurse is caring for a client who has a fracture of the right hip. Which of the following types of traction should the nurse expect the client to have prior to hip surgery?

Skeletal traction

Pelvic sling

Buck’s traction

Russell’s traction

Answer and Explanation

The Correct Answer is C

A. Skeletal traction

Skeletal traction involves the use of pins or wires that are surgically inserted directly into the bone. It is a more invasive form of traction commonly used during or after surgery. Skeletal traction provides a strong and direct pull on the bones, allowing for better alignment and immobilization.

B. Pelvic sling

A pelvic sling is not a specific type of traction. It may refer to a supportive device or garment that helps stabilize the pelvis. While it can provide support, it does not apply the same type of traction force as Buck's traction or skeletal traction.

C. Buck’s traction

Buck's traction is a type of skin traction commonly used as a temporary measure to immobilize and align fractured bones, particularly in the lower extremities. It involves the application of a boot or a splint to the affected leg, with traction applied through a system of weights and pulleys. Buck's traction is often used before hip surgery.

D. Russell’s traction

Russell's traction involves the application of traction to the lower leg using a splint and bandages. It is often used for fractures of the femur. While it is a form of traction, it is not commonly used for hip fractures.

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Correct Answer is C

Explanation

A. "Skeletal traction has less risk for infection than skin traction."

This statement is not accurate. Both skeletal and skin traction carry some risk of infection, but the risk factors and considerations are different for each. Skeletal traction involves pins or wires directly inserted into the bone, and while the risk of infection is present, it is not necessarily lower than that of skin traction.

B. "Clients in skin traction have more mobility than those in skeletal traction."

This statement is not accurate. Skeletal traction, involving the use of weights and pins or wires inserted into the bone, tends to provide more stable immobilization. Skin traction, which relies on external devices applied to the skin's surface, may allow for some limited mobility but is generally not as effective as skeletal traction.

C. "Skeletal traction is better than skin traction for reducing a fracture."

This is the correct statement. Skeletal traction is often more effective in providing a stable and controlled environment for reducing and immobilizing fractures.

D. "Clients in skin traction have more discomfort than those in skeletal traction."

This statement is not necessarily accurate. Discomfort can vary depending on the individual, the type of fracture, and other factors. Both skeletal and skin traction may cause some discomfort, and it's important to assess and manage the client's pain appropriately in either case.

A. Electrolyte imbalances B. Diarrhea C. Constipation D. Delayed gastric emptying

Correct Answer is B

Explanation

A. Electrolyte imbalances

Administering diluted enteral feedings is not typically done to address electrolyte imbalances. Instead, monitoring the electrolyte levels in the patient's blood and adjusting the content of the enteral formula (such as adjusting the concentration of electrolytes) would be more appropriate.

B. Diarrhea

Administering diluted enteral feedings is a strategy that may be employed to prevent or manage diarrhea. High concentrations of nutrients can overwhelm the gastrointestinal tract, leading to diarrhea. Diluting the formula helps reduce the risk of this complication.

C. Constipation

Administering diluted enteral feedings is not typically done to address constipation. Management of constipation is more commonly achieved through adjustments in fiber intake, fluid intake, and medications as needed.

D. Delayed gastric emptying

Administering diluted enteral feedings is not a standard approach for addressing delayed gastric emptying. Instead, adjustments in the rate of enteral feedings or specific interventions for delayed gastric emptying, such as medication or changes in positioning, would be considered.

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A nurse is caring for a client who has a fracture of the right hip. Which of the following types of traction should the nurse expect the client to have prior to hip surgery?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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