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A nurse is teaching an older adult client who has an intracapsular fracture of the right hip following a fall about the purpose of Buck's extension traction. The nurse should include which of the following information in the teaching?

Buck's extension traction will relieve muscle spasms.

Buck's extension traction will allow supported movement of the extremity.

Buck's extension traction will maintain alignment of the pins.

Buck's extension traction will reduce the fracture.

Answer and Explanation

The Correct Answer is A

A. Buck's traction is commonly used to relieve muscle spasms and provide pain relief before surgical repair.

B. It does not allow movement of the extremity but rather limits movement to reduce pain.

C. Buck's traction does not involve pins, so alignment of pins is not relevant.

D. It does not reduce fractures but helps to maintain alignment and comfort until surgery.

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Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}

Explanation

Option 1: Intracranial hemorrhage: The client’s recent fall, worsening headache, unilateral pupil dilation, right-sided weakness, and decreasing Glasgow Coma Scale (GCS) indicate a potential neurological injury, which is concerning for intracranial hemorrhage.

Option 2: Glasgow Coma Scale: The client's GCS has progressively declined (from 15 to 13), indicating a decrease in neurological function, which is critical in assessing intracranial pressure and risk for hemorrhage.

A. Dispose all linen in trash after use B. Don a mask, gloves, and gown C. Restrict visitors who have active infections D. Instruct the client to eat cooked foods only E. Limit the client from bathing daily

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

Explanation

A. Used linens do not need to be disposed of in the trash but should be laundered to prevent contamination.

B. Wearing a mask, gloves, and gown helps protect immunosuppressed clients from potential infections.

C. Restricting visitors who have active infections prevents the spread of infections to the client.

D. Instructing the client to eat only cooked foods reduces the risk of foodborne infections.

E. Limiting bathing is not necessary; in fact, good hygiene practices are essential to prevent infections.

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A nurse is teaching an older adult client who has an intracapsular fracture of the right hip following a fall about the purpose of Buck's extension traction. The nurse should include which of the following information in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client on a medical-surgical unit Exhibits Complete the following sentence by using the lists of options. The client is at highest risk for developing dropdown as evidenced by the client's dropdown .

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}

Explanation

A nurse is creating a plan of care for an immunosuppressed client. Which of the following precautions should the nurse include in the plan? (Select All that Apply.)

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

Explanation

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