A nurse is caring for a client whose right leg is in Buck's traction. Which of the following should the nurse implement to promote mobility?
Log rolling every 2 hr
Passive range-of-motion exercises of the right leg
Active range-of-motion exercises of the left leg
Isometric exercises of both legs
The Correct Answer is D
A. Log rolling every 2 hr
Log rolling is appropriate for spinal precautions, not necessary in Buck’s traction.
B. Passive range-of-motion exercises of the right leg
The leg in traction must remain immobilized; no ROM exercises on the affected leg.
C. Active range-of-motion exercises of the left leg
While this can help prevent deconditioning, it’s not as effective for overall mobility as isometric exercises.
D. Isometric exercises of both legs
Isometric exercises (e.g., quad or glute squeezes) promote circulation and prevent muscle atrophy in both limbs without disturbing traction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Develops fatigue when assisting with morning hygiene care
Fatigue during hygiene suggests low endurance; not ready to ambulate safely.
B. Needs assistance raising her legs to put on socks
Needing assistance for simple tasks shows weakness and poor muscle control.
C. Performs active range-of-motion (ROM) exercises of all extremities
Performing full active ROM exercises indicates good muscle strength and coordination, suggesting readiness to attempt ambulation.
D. Demonstrates mild dyspnea when eating breakfast
Dyspnea with minimal activity (eating) indicates limited cardiopulmonary reserve-not yet fit to ambulate.
Correct Answer is D
Explanation
A. Determining the client's mobility
Important for safety and fall prevention, but not the first priority during care planning.
B. Explaining the roles of the RN, licensed practical nurse, and assistive personnel
This is part of orientation and education but does not help in personalized care planning.
C. Introducing health care team members to the client
While courteous and important for building rapport, it’s not the first step in individualized care planning.
D. Understanding the client's routine for his own care at home
This helps in personalizing the care plan to maintain the client’s independence and preferences, especially for older adults in long-term care.
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