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.

Answer and Explanation

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.

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Free Nursing Study Resources

Correct Answer is ["A","B","C","D"]

Explanation

Choice A rationale

Sensation of pressure is a common symptom of urinary retention due to prostatic hypertrophy.

Choice B rationale

Dysuria, or painful urination, can occur due to the enlarged prostate pressing against the urethra.

Choice C rationale

Bladder distension is a result of the bladder becoming overly full due to inability to fully empty the bladder.

Choice D rationale

Tenderness over the symphysis pubis can occur due to the bladder being overly full and distended.

A. “Use soap and water to clean the catheter after each use.”. B. “Hold the penis at a 30 to 45-degree angle when inserting the catheter.”. C. “Perform catheterization when you feel the urge to void.”. D. “Inflate the balloon when the urine flow stops.”.

Correct Answer is A

Explanation

Choice A rationale

Cleaning the catheter after each use with soap and water is a crucial step in preventing infection during self-catheterization.

Choice B rationale

The angle at which the penis should be held during catheter insertion can vary, but a 30 to 45- degree angle is not typically recommended.

Choice C rationale

Performing catheterization when feeling the urge to void is not typically part of the instructions for clean intermittent self-catheterization.

Choice D rationale

Inflating the balloon when the urine flow stops is not a step in clean intermittent self- catheterization. This step is associated with indwelling catheters, not intermittent catheters.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is evaluating a patient who is suffering from prostatic hypertrophy.What symptoms associated with urinary retention should the nurse anticipate? (Choose all that apply)

Correct Answer is ["A","B","C","D"]

Explanation

A nurse is providing discharge instructions about clean intermittent self-catheterization to a patient who has benign prostatic hyperplasia. Which of the following instructions should the nurse include?

Correct Answer is A

Explanation

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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?