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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 D

Explanation

A. Restlessness may indicate incomplete recovery or inadequate sedation reversal.

B. A brisk response to stimulus suggests the client is still in a mildly sedated state and not fully recovered.

C. A sluggish response to stimulus also indicates the client is not yet fully alert and oriented.

D. The client being cooperative and oriented is an indication of full consciousness and recovery from sedation, meeting discharge criteria.

A. Encourage the client to sit up as much as possible. B. Elevate the stump on a pillow. C. Elevate the foot of the bed. D. Have the client lie prone several times per day.

Correct Answer is D

Explanation

Rationale:

A. Sitting up for prolonged periods can lead to hip contractures and should be limited.

B. Elevating the stump on a pillow is discouraged after the first 24-48 hours post-op, as it can lead to contracture formation.

C. Elevating the foot of the bed is not recommended as it may increase the risk of contractures and does not promote stump shaping.

D. Lying prone several times per day helps prevent hip flexion contractures, a common complication after an above-the-knee amputation.

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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?

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