A nurse is caring for a client who is in Buck's traction. Which of the following actions should the nurse take? (Select all that apply.)

Position weights against the foot of the bed,

Examine the skin under the traction splint.

Monitor peripheral pulses in the affected extremity.

Assess the temperature of the affected extremity.

just the prescribed weights every shift.

Answer and Explanation

Correct Answer : B,C,D

A. Position weights against the foot of the bed: Incorrect. Weights in Buck's traction are typically hung freely over the end of the bed to provide the necessary countertraction. Placing them against the foot of the bed would not serve this purpose.

B. Examine the skin under the traction splint: Correct. It's important to regularly assess the skin underneath the traction splint to ensure there are no signs of pressure ulcers or skin breakdown.

C. Monitor peripheral pulses in the affected extremity: Correct. This is essential to ensure that blood flow to the extremity is not compromised by the traction.

D. Assess the temperature of the affected extremity: Correct. Monitoring the temperature helps in identifying any signs of impaired circulation.

E. Adjust the prescribed weights every shift: This is not something that should be done without specific orders from the healthcare provider. Adjusting the weights should be done based on the specific plan of care and provider's instructions.

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Correct Answer is C

Explanation

A. Delaying the surgery until a member of the client's family is reached may not be in the best interest of the client if urgent surgical intervention is indicated.

B. While naloxone can reverse the effects of opioids like morphine, it is not the primary action the neurosurgeon would take in this situation. The priority is addressing the urgent surgical need.

C. Invoking implied consent is the most appropriate action in this situation. Implied consent is assumed in emergency situations where the client is unable to provide consent, and delay would significantly jeopardize the client's health.

D. Asking the client to sign the surgical consent form would not be feasible in this situation since the client is likely not in a condition to provide informed consent due to the administration of intravenous morphine and the urgency of the surgical intervention.

A. Russell's traction uses skeletal pins to stabilize the fracture. B. Russell's traction uses a pelvic girdle belt to decrease lower back pain. C. Russell's traction uses a sling under the knee to treat a fracture of the femur. D. Russell's traction uses a cervical halter to decrease cervical muscle spasms.

Correct Answer is C

Explanation

A. Russell's traction does not use skeletal pins. Skeletal traction involves the use of pins, wires, or screws inserted directly into the bone to stabilize a fracture.

B. Russell's traction does not involve the use of a pelvic girdle belt. Pelvic girdle belts are more commonly associated with some other forms of traction used for different purposes.

C. Russell's traction is specifically used for the treatment of a fracture of the femur, and it involves a sling placed under the knee to support and immobilize the affected leg.

D. Russell's traction is not used to decrease cervical muscle spasms. Cervical traction, using a cervical halter, is a separate form of traction used for cervical spine-related issues.

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A nurse is caring for a client who is in Buck's traction. Which of the following actions should the nurse take? (Select all that apply.)

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Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

A nurse is discussing Russell's traction with a newly licensed nurse. Which of the following statements about this form of traction should the nurse include in the teaching?

Correct Answer is C

Explanation

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