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 ["D","E"]

Explanation

A. Assessment of Lower Extremities
Edema is common in renal failure but not specific to transplant rejection.

B. Sodium Level
Sodium level changes can occur with various conditions but are not specific to transplant rejection.

C. Lung Sounds
Lung sounds are important for respiratory issues but not directly indicative of kidney transplant rejection.
D. Creatinine Level
Elevated creatinine indicates possible kidney dysfunction or rejection.

E. Assessment of Incision Site
Signs of infection or inflammation at the incision site could indicate transplant issues.

F. Bowel Sounds
Hypoactive bowel sounds are related to gastrointestinal issues, not directly to transplant rejection.

G. Blood Pressure
Elevated blood pressure can be a consequence of many conditions but is not specific for transplant rejection.

A. Decreased lung sounds B. Heart rate 110/min and regular C. Oxygen saturation of 95% D. Subcutaneous emphysema E. Trachea midline F. Puncture site dry

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

Explanation

Decreased Lung Sounds: Could indicate complications such as pneumothorax.

Heart Rate 110/min: Tachycardia may suggest a reaction to recent procedures or other underlying issues.

Subcutaneous Emphysema: Indicates possible air leakage that needs to be addressed.

Does Not Require Immediate Follow-Up:

Oxygen Saturation of 95%: Indicates acceptable oxygenation status.

Trachea Midline: Shows that there is no mediastinal shift.

Puncture Site Dry: Indicates that there is no ongoing issue at the insertion site

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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 who is admitted to the emergency department for fatigue. Exhibits Which of the following findings indicate that the client may be experiencing transplant rejection? (Select all that apply).

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

Explanation

A nurse is caring for a 75-year-old male client who is experiencing difficulty breathing and shortness of breath. Exhibits The nurse is caring for the client following a thoracentesis. (Select the 3 findings that require immediate follow-up.)

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

Explanation

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