The nurse is aware that the maximum weight that can be applied with a skin traction is

Answer and Explanation

The Correct Answer is D

A. 35

35 pounds is too much for skin traction. That much weight can damage the skin and soft tissues.

B. 25

While closer, 25 pounds is above the recommended limit for skin traction. Excessive weight may lead to skin breakdown.

C. 15

Though this might be used occasionally, it’s still considered on the higher side and usually reserved for very short-term use.

D. 5

The recommended weight for skin traction is 5–7 pounds, because the skin and soft tissues cannot tolerate heavier loads.

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Correct Answer is B

Explanation

A. Allows for large traction weights to reduce the fracture.

Buck's traction uses light weights (5–10 lbs) and is not used for fracture reduction, but rather to relieve symptoms.

B. Reduces muscle spasm that accompanies fractures.

Buck's traction is commonly used preoperatively to reduce muscle spasm, pain, and to align the limb temporarily.

C. Helps the bone heal slowly.

It does not influence the speed of bone healing directly. Its purpose is mainly for temporary stabilization and symptom relief.

D. Does not cause skin disruptions.

While it's less invasive than skeletal traction, skin breakdown is still a risk, especially in older adults with fragile skin.

A. Move overbed tables away from the bed. B. Instruct the clients to use the call light. C. Perform client checks every 4 hr. D. Keep the clients' rooms dark. E. Place a fall risk wristband on each of the clients.

Correct Answer is ["B","E"]

Explanation

A. Move overbed tables away from the bed

Overbed tables should be kept within reach so clients don’t overextend or stand unsafely to access them.

B. Instruct the clients to use the call light

Reinforcing use of the call light promotes help-seeking before unsafe mobility attempts.

C. Perform client checks every 4 hr

High-risk clients should be checked more frequently, typically every hour or two, especially overnight.

D. Keep the clients' rooms dark

Poor lighting increases fall risk. A night light should be used.

E. Place a fall risk wristband on each of the clients

Fall risk wristbands alert staff and ensure precautions are taken consistently.

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The nurse is aware that the maximum weight that can be applied with a skin traction is

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Naxlex Comprehensive Predictor Exams

The daughter of an older woman with a diagnosis of a fractured tibia asks why her mother is in Buck's traction. The nurse's most informative response would be that Buck's traction:

Correct Answer is B

Explanation

A nurse is working a night shift and caring for several clients at risk for falls. Which of the following actions should the nurse take? (Select all that apply.)

Correct Answer is ["B","E"]

Explanation

A nurse is assisting a client with range-of-motion exercises of the shoulders. Which of the following terms should the nurse use when documenting the client raising his arm from his side to above his head?

Please indicate whether the following statement is true or false. Air fluidized beds use tiny metal beads that are contained within the bed under a flexible, air-permeable filter sheet.

A nurse is assisting a client with range-of-motion exercises of the neck. Which of the following terms should the nurse use when documenting the client touching her chin to her chest?

A nurse is assisting with the ambulation of a client with the use of a gait belt, who becomes light-headed and begins to fall. Which of the following actions should the nurse take?

A certified nursing assistant (CNA) is assisting a patient into a wheelchair. The nurse intervenes if the CNA has:

A nurse is assisting with the development of a plan of care for an older adult who is at risk for falls. Which of the following actions should the nurse contribute to the plan? (Select all that apply)

The nurse is aware that the maximum weight that can be applied with a skin traction is

The nurse designs care for the immobilized patient to help combat the major dangers of immobilization, which include: Select all that apply.