A nurse is teaching an assistive personnel (AP) about the purpose of a footplate on the bed of a client whose leg is in Buck's traction. Which of the following statements indicates the AP understands the teaching?

"The footplate keeps the client from sliding down in bed."

"The footplate helps to prevent foot drop."

"The footplate works to anchor the traction."

"The footplate prevents pressure sores on the heel."

Answer and Explanation

The Correct Answer is B

A. The footplate keeps the client from sliding down in bed is not the primary function of the footplate in Buck’s traction.

B. The footplate helps to prevent foot drop by maintaining proper alignment of the foot and leg in Buck’s traction.

C. The footplate works to anchor the traction is incorrect; traction is anchored by weights and pulleys, not the footplate.

D. The footplate prevents pressure sores on the heel is not the primary purpose of the footplate in Buck's traction.

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Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"B"}}

Explanation

Administer an analgesic: Essential. The client is experiencing sudden, sharp chest pain and appears anxious, which indicates the need for pain management.

Initiate a weight-based continuous heparin infusion: Non-essential. This intervention is related to anticoagulation management and is not indicated for the immediate management of a pneumothorax or pain.

Initiate supplemental oxygen: Essential. The client has a low pulse oximetry reading of 85%, indicating a need for supplemental oxygen to improve oxygenation.

Prepare client for a chest tube insertion: Essential. The chest x-ray shows a right upper lobe pneumothorax, and preparing for chest tube insertion is crucial for managing this condition.

Insert an indwelling urinary catheter: Non-essential. There is no indication from the client's current condition that an indwelling urinary catheter is required.

A. Uses a microwave for cooking. B. Electrical cords are placed along the walls. C. Handrails are present in the bathroom. D. Scatter rugs are present in the kitchen.

Correct Answer is D

Explanation

A. Uses a microwave for cooking is not a significant safety risk for someone with decreased vision.

B. Electrical cords are placed along the walls is generally not a safety risk if properly secured and not in high-traffic areas.

C. Handrails are present in the bathroom is a safety feature that helps prevent falls.

D. Scatter rugs are present in the kitchen are a safety risk as they can cause tripping hazards, especially for clients with vision impairment.

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A nurse is teaching an assistive personnel (AP) about the purpose of a footplate on the bed of a client whose leg is in Buck's traction. Which of the following statements indicates the AP understands the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client. Exhibits For each potential nursing action, click to specify if the action is essential, non-essential, or contraindicated for the client.

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"B"}}

Explanation

A home health nurse is assessing an older adult client in the home who has decreased vision due to a history of glaucoma. Which of the following findings should the nurse identify as a safety risk?

Correct Answer is D

Explanation

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