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 C

Explanation

A. The side-lying position is not appropriate for paracentesis because it does not allow optimal access to the abdomen and can make fluid removal more difficult.

B. The supine position is also not suitable for paracentesis, as it may not allow for proper drainage and can increase the risk of respiratory compromise, especially in clients with large volumes of ascitic fluid.

C. High-Fowler’s position is correct because it helps pool the ascitic fluid in the lower abdomen, making it easier to access and drain during the procedure. This position also helps improve breathing by relieving pressure on the diaphragm caused by the ascites.

D. The leaning forward position is not appropriate for paracentesis, as it can be uncomfortable and does not provide optimal access to the abdominal cavity for fluid removal.

A. Place a pillow under the client's head. B. Place the client into a supine position. C. Apply restraints. D. Insert a bite stick into the client's mouth. E. Loosen restrictive clothing.

Correct Answer is ["A","E"]

Explanation

A. Place a pillow under the client's head.
Rationale: This action helps to prevent head injury during a seizure by cushioning the head.
B. Place the client into a supine position.
Rationale: This is incorrect because it can increase the risk of aspiration. The client should be placed in a side-lying position to allow the mouth to drain and prevent aspiration.
C. Apply restraints.
Rationale: This is incorrect as restraints can cause injury to the client during a seizure. The nurse should instead ensure the environment is safe and free from objects that could harm the client.
D. Insert a bite stick into the client's mouth.
Rationale: This is incorrect because inserting any object into the mouth during a seizure can cause dental injury or aspiration. The jaw should not be forced open.
E. Loosen restrictive clothing.
Rationale: This action helps to prevent injury and allows for easier breathing during a seizure. It also prevents any constriction that could occur due to muscle contractions.

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is ["A","E"]

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