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 ["7"]
Explanation
The nurse is preparing to administer amoxicillin 350 mg orally. The available amoxicillin is 250 mg per 5 mL.
Step 1: To find out how many mL the nurse should administer, we need to set up a proportion to calculate the dosage. The proportion is set up as follows: 350 mg (desired dose) : X mL (unknown quantity) = 250 mg (available dose) : 5 mL (known quantity)
Step 2: Cross-multiply to solve for X: 350 mg * 5 mL = 250 mg * X mL Step 3: Simplify the equation: 1750 mgmL = 250X mgmL Step 4: Divide both sides by 250 mg to solve for X: X = 1750 mg*mL ÷ 250 mg = 7 mL.So, the nurse should administer 7 mL of amoxicillin.
Correct Answer is D
Explanation
Choice A rationale
Constipation is a potential side effect of aripiprazole, but it is not typically a serious concern that would require notifying the provider.
Choice B rationale
Weight gain of 5 lb in 1 month could be a side effect of aripiprazole, but it is not typically a serious concern that would require notifying the provider.
Choice C rationale
Insomnia is a potential side effect of aripiprazole, but it is not typically a serious concern that would require notifying the provider.
Choice D rationale
Muscle stiffness could be a sign of a serious side effect of aripiprazole known as extrapyramidal symptoms. This could include conditions such as dystonia, akathisia, and Parkinsonism. If a patient experiences muscle stiffness while taking aripiprazole, the healthcare provider should be notified.
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