A patient with a fractured right femur is placed in Bryant's traction. Which observation would indicate that the function of the traction is compromised?
The patient's buttocks are slightly elevated off the bed.
The weights are suspended above the bed and free of interference from the bed frame.
The patient's hips are flexed at a 90-degree angle to the bed.
A knot in the rope of the traction is resting against a pulley.
The Correct Answer is D
Choice A rationale:
Elevating the patient's buttocks off the bed is appropriate in Bryant's traction, ensuring effective countertraction and alignment of the fractured bone. This position doesn't compromise traction function.
Choice B rationale:
Proper weight suspension, free of interference, prevents inadequate traction. This maintains the pulling force needed for fracture reduction and immobilization. No compromise is indicated here.
Choice C rationale:
Flexing the patient's hips at a 90-degree angle promotes proper body alignment. Although this angle might vary depending on the specific type of traction, it's not an immediate indication of traction compromise.
Choice D rationale:
Placing a knot in the rope against a pulley impedes the smooth functioning of the traction system. This could lead to a decrease in the applied traction force, potentially compromising fracture alignment and healing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Meconium ileus is a concern in newborns with cystic fibrosis due to thick meconium, which can cause intestinal obstruction. At 16 years old, this complication is not relevant to the client's current condition.
Choice B rationale:
Blood-streaked sputum is a likely finding in a 16-year-old with cystic fibrosis and decreased pulmonary function. Cystic fibrosis leads to mucus accumulation and lung infections, which can cause blood vessels to rupture, resulting in blood-streaked sputum.
Choice C rationale:
Clear breath sounds bilaterally indicate healthy lung function, which is not expected in a client with cystic fibrosis and decreased PFT results. Breath sounds are likely to be diminished due to mucus accumulation.
Choice D rationale:
Dyspnea, or difficulty breathing, is a common symptom in clients with cystic fibrosis and decreased pulmonary function. However, the question asks about the expected findings that the nurse should assess, not a symptom that the client might report.
Correct Answer is C
Explanation
Choice A rationale:
Placing the infant on her left side with a pillow supporting her back after feeding is appropriate as it prevents aspiration and reflux due to gravity.
Choice B rationale:
Covering the cast with a towel to prevent accidental soiling is a sensible action, ensuring the cast remains clean and dry.
Choice C rationale:
The mother using the football hold to position the infant securely to one side might hinder the cast's stability and could potentially cause discomfort or displacement.
Choice D rationale:
Supporting both the infant's head and cast when leaning her forward for burping is essential to maintain the cast's integrity and to prevent strain on the infant's body.
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