A nurse is caring for a client who has a spinal cord injury. Which of the following support devices should the nurse plan to use to prevent plantar flexion contractures?
Trochanter roll
Footboard
Sheepskin heel pad
Abduction pillow
The Correct Answer is B
Rationale:
A. Trochanter roll: A trochanter roll is used to prevent external rotation of the hips in clients who are immobile. It does not support the feet or ankles and therefore does not prevent plantar flexion contractures.
B. Footboard: A footboard helps maintain the foot in a dorsiflexed, neutral position by providing firm support against the soles. This prevents foot drop, a common plantar flexion contracture in clients with limited mobility.
C. Sheepskin heel pad: Sheepskin heel pads protect the heels from pressure ulcers by reducing friction and shear but do not maintain ankle alignment or prevent plantar flexion of the feet.
D. Abduction pillow: An abduction pillow is placed between the legs to maintain hip alignment after procedures like hip replacement. It offers no support to the feet and does not prevent plantar flexion.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Buy disposable dishes for daily use: HIV is not transmitted through saliva or casual household contact, including sharing dishes. Disposable dishes are unnecessary and promote stigma.
B. Clean blood-contaminated surfaces with bleach: A 1:10 bleach solution is effective in killing HIV on surfaces. Proper cleaning of blood spills is essential for preventing transmission.
C. Wash soiled clothes in cold water: Hot water (not cold) and detergent should be used to clean potentially contaminated clothing to reduce the risk of infection.
D. Use condoms with a petroleum-based lubricant: Petroleum-based lubricants degrade latex condoms, increasing the risk of breakage. Water- or silicone-based lubricants should be used instead.
Correct Answer is C
Explanation
Rationale:
A. Canned black beans: While black beans are nutritious, the canned variety often contains high sodium content, which can contribute to elevated blood pressure. Unless rinsed or labeled low-sodium, they are not ideal for a hypertension diet.
B. Cheese: Many cheeses are high in sodium and saturated fats, which can worsen hypertension. Regular consumption should be limited or replaced with low-sodium, low-fat alternatives.
C. Fish: Fish, especially fatty varieties like salmon and mackerel, are rich in omega-3 fatty acids, which support cardiovascular health and help lower blood pressure. They are a heart-healthy protein choice for individuals with hypertension.
D. Red meat: Red meat is often high in saturated fat and sodium, particularly when processed. Frequent intake is associated with increased blood pressure and cardiovascular risks, making it less suitable for a hypertension-friendly diet.
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