After teaching a client with a fractured humerus, the nurse assesses the client’s understanding. Which dietary choice demonstrates that the client correctly understands the nutrition needed to assist in healing the fracture?

Baked fish with orange juice and a vitamin D supplement.

Bacon, lettuce, and tomato sandwich with a vitamin B supplement.

Vegetable lasagna with a green salad and a vitamin A supplement.

Roast beef with low-fat milk and a vitamin C supplement.

Answer and Explanation

The Correct Answer is A

Choice A reason: Vitamin D enhances calcium absorption in the intestines, critical for bone mineralization during fracture healing. Baked fish (rich in protein) and orange juice (vitamin C source) support collagen formation, making this a comprehensive choice for bone repair and tissue recovery.
Choice B reason: Vitamin B supports energy metabolism but has no direct role in bone healing. A bacon, lettuce, and tomato sandwich lacks significant calcium or vitamin D, essential for osteoblast activity and bone matrix formation, making it less effective for fracture recovery.
Choice C reason: Vitamin A supports epithelial tissue but is less critical for bone healing than vitamin D or calcium. Vegetable lasagna and salad provide some nutrients but lack the specific bone-supporting elements like calcium, making this choice suboptimal.
Choice D reason: Vitamin C aids collagen synthesis, and low-fat milk provides calcium, both beneficial for fracture healing. However, it lacks vitamin D, which is essential for calcium absorption, making it less comprehensive than the vitamin D-inclusive option for optimal bone repair.

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Correct Answer is C

Explanation

Choice A reason: Positioning with hips flexed at 90 degrees is inappropriate for Buck’s traction, which is a skin traction applied to the lower leg to align fractures. Excessive hip flexion can disrupt traction alignment and increase discomfort or complications.
Choice B reason: Weights in Buck’s traction must hang freely to maintain constant force for fracture alignment. Contact with the floor negates the traction’s effect, risking bone misalignment and delayed healing, making this an incorrect care practice.
Choice C reason: Checking for skin irritation is critical in Buck’s traction, as prolonged pressure from straps or bandages can cause pressure ulcers or skin breakdown. Regular skin assessment ensures early detection and prevention of complications, maintaining the traction’s safety and efficacy.
Choice D reason: Releasing weights disrupts the continuous force needed for fracture alignment in Buck’s traction. This can lead to bone displacement, increased pain, or delayed healing, making scheduled weight release an inappropriate and harmful practice.

A. Abdominal assessment. B. Oxygen saturation. C. Breath sounds. D. Visual acuity.

Correct Answer is D

Explanation

Choice A reason: Abdominal assessment is less critical in RA and Sjögren syndrome, as these conditions primarily affect joints and exocrine glands, respectively. Gastrointestinal issues may occur with RA medications (e.g., NSAIDs), but they are not the primary concern compared to ocular complications.
Choice B reason: Oxygen saturation is not directly impacted by RA or Sjögren syndrome unless secondary complications like interstitial lung disease (rare in RA) are present. It is less relevant than ocular assessments for Sjögren syndrome’s hallmark dry eye complications.
Choice C reason: Breath sounds may be assessed in RA for rare pulmonary complications, but Sjögren syndrome primarily causes sicca symptoms (dry eyes and mouth). Respiratory issues are not the primary concern, making this less critical than ocular assessment.
Choice D reason: Sjögren syndrome causes reduced tear production, leading to dry eyes, which can result in corneal damage, infections, or vision loss. Assessing visual acuity is critical to detect early ocular complications, making it the most important assessment for this client’s condition.

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After teaching a client with a fractured humerus, the nurse assesses the client’s understanding. Which dietary choice demonstrates that the client correctly understands the nutrition needed to assist in healing the fracture?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What will the nurse include when caring for a child in Buck’s extension?

Correct Answer is C

Explanation

The nurse assesses a client with rheumatoid arthritis (RA) and Sjögren syndrome. What assessment would be most important for this client?

Correct Answer is D

Explanation

On entering the room of a child in Buck’s traction, the nurse makes all of the following observations. Which observation requires a nursing intervention?

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