Try Naxlex NCLEX-RN (Free-Trial)

The nurse is caring for a client who has been treated with skeletal traction for two weeks. What are the priorities of care? (SELECT ALL THAT APPLY

Make certain that both feet are wedged tightly against the footboard

Provide pin care per institutional policy

Perform neurovascular checks

Assess for skin breakdown

Remove weights for 20 minutes every 2 hours

Answer and Explanation

Correct Answer : B,C,D

A. Feet should not be wedged tightly against the footboard, as it may cause pressure injuries.

B. Providing pin care prevents infection at the pin sites.

C. Neurovascular checks monitor for complications like compartment syndrome.

D. Assessing for skin breakdown is essential due to prolonged immobility.

E. Weights should not be removed unless prescribed, as it can disrupt the traction setup.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

A. The first priority is to assess whether the numbness and tingling in the left leg are new or a preexisting symptom. This helps identify if there are complications like nerve injury or issues with the surgical site.

B. While documenting the findings is important, it’s more critical to compare these new symptoms with preoperative findings to identify potential complications.

C. Drawing blood for serum calcium is not directly relevant to the immediate issue of nerve symptoms after a laminectomy.

D. Telling the client that the symptoms are normal could lead to delayed intervention if there is a more serious issue, like nerve damage or surgical complications.

A. "I would suggest the use of any available remedy that might give you some comfort. B. "Let's discuss some of your concerns." C. "The changes will be subtle at first, so they won't be noticeable to others." D. "It is hard to predict what the disease process has in store for any one individual."

Correct Answer is B

Explanation

A. Suggesting remedies prematurely without fully understanding the client’s concerns might not address their specific needs.

B. The best response is to encourage open communication by acknowledging the client’s concerns and fostering a discussion. This approach helps the nurse understand the client’s worries and provide tailored information about rheumatoid arthritis and its potential impact on daily life.

C. The progression of rheumatoid arthritis is variable and can affect activities of daily living more noticeably over time; it’s not always subtle.

D. While predicting disease outcomes can be difficult, giving a more open response like option B will foster better communication and support.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse is caring for a client who has been treated with skeletal traction for two weeks. What are the priorities of care? (SELECT ALL THAT APPLY

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client on the first post-operative day after a L3-4 laminectomy and diskectomy. The client now complains of numbness and tingling in the left leg. What is the nurse's first priority?

Correct Answer is A

Explanation

The client has been diagnosed with rheumatoid arthritis and asks, "What impact will this have on my activities of daily living in the years to come?" What is the best response by the nurse?

Correct Answer is B

Explanation

A nurse is teaching a client about avoiding a gout attack. In evaluating the client's recall of a low purine diet, which dietary choice would indicate to the nurse that the client needs more teaching?

A client with osteoarthritis of the left knee will undergo an injection of corticosteroids into the joint. The nurse notes that the primary reason for this injection is to:

The nurse teaches a client that which factor might increase the risk of developing an exacerbation of systemic lupus erythematous (SLEP

Post total joint replacement, the patient needs for the joint to heal prior to sexual activity. What position is best for the patient after a total joint replacement of the hip?

The client has had a total hip replacement. The nurse teaches the client about safe positions for the client for sexual intercourse. These include: (SELECT ALL THAT APPLY)

A physical therapist is helping nursing students to understand the correct use of ambulatory devices. The students realize that the correct statement(s) made is/are: (SELECT ALL THAT APPLY)

A client with traumatic injuries has a comminuted open fracture of the femur that has been placed in an external fixator. The nurse recognizes that compartment syndrome is associated with which clinical assessment finding?