A nurse is caring for a client who has a left femur fracture and is in skeletal traction. The client reports pain due to muscle spasms in the affected leg. Which of the following is an appropriate action by the nurse?

Realign the extremity in traction

Remove the traction weights.

Increase the amount of traction

Allow the weights to rest on the floor

Answer and Explanation

The Correct Answer is A

A. Realign the extremity in traction: Muscle spasms can be caused by misalignment or improper positioning of the extremity. Realigning the leg ensures proper traction force distribution, reduces muscle tension, and alleviates pain. This is the most appropriate initial action for managing spasm-related discomfort.

B. Remove the traction weights: Removing weights would interrupt the prescribed traction, potentially worsening fracture alignment and increasing pain or complications. Traction must be maintained continuously unless ordered otherwise by the provider.

C. Increase the amount of traction: Increasing weight without a provider order can cause neurovascular compromise, worsen pain, or damage tissue. Adjustments to traction must be prescribed, not done autonomously by the nurse.

D. Allow the weights to rest on the floor: Letting the weights rest on the floor eliminates the traction force, which can lead to malalignment of the fracture, increased muscle spasms, and delayed healing. This action is unsafe and inappropriate.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is A

Explanation

A. Administer an oral rehydration solution: Oral rehydration solutions (ORS) are specifically formulated to replace fluids and electrolytes lost during diarrhea. They are the first-line treatment for mild to moderate dehydration in children with gastroenteritis, helping prevent complications and restore hydration safely.

B. Offer the child 1 cup of chicken broth: While chicken broth provides some fluid, it is not balanced in electrolytes and sodium, and it may be too concentrated in sodium for a preschooler with diarrhea. ORS is more appropriate for correcting dehydration.

C. Encourage the child to eat gelatin: Gelatin is low in electrolytes and protein and does not adequately replace fluids lost from diarrhea. Relying on gelatin alone would not meet the child’s rehydration needs.

D. Initiate a high-carbohydrate diet: High-carbohydrate foods are not recommended during acute diarrhea because they can worsen osmotic diarrhea. Focus should be on fluid and electrolyte replacement rather than high-carbohydrate foods initially.

A. Cheddar cheese B. Bananas C. Chicken D. Peanut butter

Correct Answer is A

Explanation

A. Cheddar cheese: Cheddar and other aged cheeses contain high levels of tyramine, which can precipitate a hypertensive crisis when consumed by clients taking MAOIs like phenelzine. Avoiding aged cheeses is critical to prevent severe cardiovascular complications.

B. Bananas: Fresh bananas contain low levels of tyramine and are generally safe to consume in moderation while taking MAOIs. Only overripe bananas with high tyramine content should be limited, but this is less of a concern than aged cheeses.

C. Chicken: Fresh chicken does not contain significant tyramine and is safe to include in the diet while taking phenelzine. Properly cooked and stored poultry does not pose a risk for hypertensive crisis.

D. Peanut butter: Peanut butter contains minimal tyramine and is considered safe for clients on MAOIs. Only improperly stored or aged peanut products might pose a slight risk, making it much less critical than avoiding aged cheeses.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for a client who has a left femur fracture and is in skeletal traction. The client reports pain due to muscle spasms in the affected leg. Which of the following is an appropriate action by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Exhibits A nurse is providing care for a preschooler who has acute gastroenteritis. Which of the following actions should the nurse take? (Click on the exhibit tabs for additional information about the client. There are three tabs that contain separate categories of data.)

Correct Answer is A

Explanation

A nurse is teaching a client who is to start taking phenelzine for major depressive disorder. Which of the following foods should the nurse teach the client to avoid consuming while taking this medication?

Correct Answer is A

Explanation

A nurse is assessing a client who is 8 hr postoperative following a right-modified radical mastectomy. Which of the following should the nurse recognize as the priority finding?

A nurse is caring for a client who is at 20 weeks of gestation Which of the following actions should the nurse plan to take? Select all that apply.

A nurse in an urgent care clinic is collecting admission history from a client who is at 16 weeks of gestation and has bacterial vaginosis. The nurse should recognize that which of the following clinical findings are associated with this infection?

A nurse is performing an admission assessment for a client who is to undergo a colonoscopy. The client informs the nurse that he took his prescribed medications before coming to the clinic. Which of the following medications is the priority to report to the provider?

A nurse is providing dietary teaching to a client who has an increased cholesterol level. Which of the following foods should the nurse recommend?

A nurse is teaching a client who is 2 days postpartum and is breastfeeding. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is planning care for a client who has a new diagnosis of dysphagia. Which of the following foods should the nurse recommend?