A nurse is caring for an adolescent client whose right leg is in Buck's traction. Which of the following interventions should the nurse implement to promote the client's mobility?
Active range-of-motion exercises of the left leg
Log rolling every 2 hr
Passive range of motion to the right leg
Isometric exercises of both legs
The Correct Answer is D
A. Active range-of-motion exercises of the left leg promote mobility in the unaffected limb but do not fully address the need for maintaining muscle strength in both legs.
B. Log rolling every 2 hours is a technique used for clients who require spinal precautions or have limited movement due to back injuries. It does not promote mobility for a client in Buck's traction.
C. Passive range of motion to the right leg may prevent joint stiffness but does not actively maintain or improve muscle strength. Additionally, movement of the affected limb should be minimized to maintain the alignment of the traction.
D. Isometric exercises of both legs are appropriate for promoting mobility and maintaining muscle strength without disrupting the traction. These exercises involve contracting the muscles without moving the joints, which is safe for the affected limb in Buck's traction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Hypertension is not a common adverse effect of Beclomethasone, an inhaled corticosteroid. Systemic effects like hypertension are rare with inhaled forms due to minimal systemic absorption.
B. Hypoglycemia is not associated with Beclomethasone use. Corticosteroids are more likely to cause hyperglycemia, but this is uncommon with inhaled formulations.
C. Polyuria is not an expected side effect of Beclomethasone. It is more commonly associated with conditions like diabetes or diuretics.
D. Oral candidiasis (thrush) is a common adverse effect of inhaled corticosteroids like Beclomethasone. The medication can suppress local immunity in the oral mucosa, leading to fungal overgrowth. Clients should be advised to rinse their mouth after each use to reduce this risk.
Correct Answer is ["A","B","E"]
Explanation
A. Ipratropium (Atrovent HFA) is an anticholinergic medication that can be used in combination with short-acting beta-agonists like albuterol to help relieve bronchospasm during an acute asthma attack.
B. Albuterol (Proventil HFA) is a short-acting beta-agonist (SABA) that is commonly used as a first-line treatment during an acute asthma attack to rapidly relieve bronchoconstriction and improve airflow.
C. Salmeterol (Serevent Diskus) is a long-acting beta-agonist (LABA) used for long-term asthma control, not for acute exacerbations. LABAs are not effective in quickly relieving symptoms during an acute attack.
D. Montelukast (Singulair) is a leukotriene modifier used for long-term asthma management and prevention. It is not effective in treating acute asthma attacks.
E. Inhaled hypertonic saline can help in acute asthma attacks by increasing mucus clearance and improving respiratory function, especially in patients with severe symptoms.
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