A nurse is caring for a patient whose right leg is in Buck’s traction.
Which interventions should the nurse implement to promote the patient’s mobility?
Perform passive range of motion exercises on the right leg.
Perform isometric exercises on both legs.
Perform active range-of-motion exercises on the left leg.
Log roll the patient every 2 hours.
The Correct Answer is C
Choice A rationale
Performing passive range of motion exercises on the right leg in Buck’s traction may not be appropriate. These exercises involve moving the joint without the patient’s muscles doing the work, which could disrupt the traction.
Choice B rationale
Isometric exercises involve contracting the muscles without moving the joints. While these exercises can be beneficial for maintaining muscle strength, they may not promote mobility.
Choice C rationale
Performing active range-of-motion exercises on the left leg can help promote mobility. These exercises involve the patient moving the joint through its full range of motion, which can help maintain joint flexibility and muscle strength.
Choice D rationale
Log rolling the patient every 2 hours may not be appropriate for a patient in Buck’s traction. This technique involves turning the patient as a unit to prevent twisting and protect the spine, which could disrupt the traction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
The statement “Do you think you could keep him in the nursery for the next feeding so I can get some sleep?” indicates that the mother may be experiencing inhibited parental attachment.
After childbirth, it is normal for a new mother to feel tired and need rest. However, consistently preferring to have the baby cared for in the nursery rather than spending time bonding may suggest inhibited parental attachment.
Choice B rationale
The statement “I don’t need a baby bath demonstration. I know how to do it.”. suggests that the mother is confident in her ability to care for her baby, which is a positive sign of parental attachment. It shows that she is prepared and willing to take on the responsibilities of parenthood.
Choice C rationale
The statement “I wish he had more hair. I will keep a hat on his head until he grows some.”. may indicate a slight disappointment in the baby’s appearance but does not necessarily indicate inhibited parental attachment. It’s common for parents to have certain expectations or hopes about their baby’s appearance.
Choice D rationale
The statement “He’s got my husband’s nose, that’s for sure.”. indicates that the mother is observing and commenting on the baby’s features, which is a positive sign of parental
attachment. Recognizing familial features helps in bonding and forming an attachment with the baby.
Correct Answer is D
Explanation
Choice A rationale
Stopping aspirin a week before surgery is generally recommended to reduce the risk of bleeding. Aspirin can inhibit platelet aggregation and prolong bleeding time.
Choice B rationale
Taking prescribed blood pressure medication with a sip of water on the day of surgery is usually allowed. However, this can depend on the specific medication and the patient’s health status.
Choice C rationale
Not wearing contact lenses on the day of surgery is a standard preoperative instruction. This is because contact lenses can interfere with anesthesia administration and potentially cause injury to the eyes.
Choice D rationale
A recent cough and runny nose could indicate a respiratory infection. This could potentially increase the risk of complications during surgery and may need to be evaluated further. OK. Let’s go through these questions one by one:
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