A nurse teaches assistive personnel about providing hygiene for a client in traction. Which statement would the nurse include as part of the teaching about this client’s care?

Choice A reason: Removing a medical alert bracelet is not a priority, as it does not address the fracture’s immediate needs. The bracelet provides critical information (e.g., diabetes status) for emergency care, and its removal could delay appropriate management of comorbidities.
Choice B reason: Immobilizing the fractured arm with a splint is the priority to prevent further tissue damage, reduce pain, and stabilize the fracture site. In diabetes, poor wound healing increases complication risks, making immediate immobilization critical to minimize movement and promote healing.
Choice C reason: Placing the client supine with a blanket addresses comfort but not the fracture’s urgent needs. Immobilization takes precedence to prevent bone displacement, which could complicate healing, especially in diabetes, where vascular issues impair recovery.
Choice D reason: Covering open areas with a sterile dressing is necessary for open fractures to prevent infection, but the question does not specify an open fracture. Immobilization is the first action for any fracture to ensure stability and reduce complications.

Choice A reason: Green-blue discharge suggests infection, possibly bacterial (e.g., Pseudomonas), but is not specific to tympanic membrane rupture. In otitis media with effusion, discharge may occur with perforation, but the color is not diagnostic of rupture itself.
Choice B reason: Increased temperature is common in otitis media due to infection but does not specifically indicate tympanic membrane rupture. Fever reflects systemic inflammation, not the mechanical event of perforation, which is better indicated by other symptoms.
Choice C reason: Sudden pain relief in otitis media with effusion occurs when a tympanic membrane rupture releases pressure from fluid buildup in the middle ear. This alleviates the intense pain caused by pressure on the membrane, making it a hallmark sign of perforation.
Choice D reason: A popping sensation when swallowing may occur due to eustachian tube dysfunction but is not specific to tympanic membrane rupture. It reflects pressure changes in the middle ear, not the acute event of perforation.