The nurse is caring for a patient with a fracture who has a Buck's traction boot in place. The boot helps decrease which condition?

Post-traumatic arthritis

Intra-articular adhesions

Extra-articular adhesions

Muscle spasm

Answer and Explanation

The Correct Answer is D

A. Post-traumatic arthritis can develop after a fracture, but Buck's traction does not directly prevent or treat arthritis. Post-traumatic arthritis is a long-term complication that is managed through other interventions such as physical therapy or joint replacement if necessary.
B. Intra-articular adhesions refer to scar tissue formation inside the joint, which is not the primary focus of Buck's traction. Buck's traction is used to immobilize the limb and reduce muscle spasm, not to address intra-articular issues.
C. Extra-articular adhesions involve the formation of scar tissue outside the joint and are not specifically targeted by Buck's traction. The primary goal of the boot is to reduce muscle spasm and maintain alignment.
D. Muscle spasm is the primary condition that Buck's traction helps decrease. The boot applies a gentle, continuous pull on the limb, which helps to alleviate muscle spasms, reduce pain, and maintain proper alignment while the fracture heals.

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Correct Answer is B

Explanation

A. Heparin should not be discontinued immediately after starting warfarin, as warfarin takes several days to reach therapeutic levels. Discontinuing heparin too early could put the client at risk for clotting.
B. Warfarin takes several days to reach a therapeutic effect, so heparin is continued initially to provide immediate anticoagulation until the warfarin becomes effective.
C. Heparin does not increase the effects of warfarin, but both medications are used together temporarily to ensure adequate anticoagulation until warfarin reaches therapeutic levels.
D. Neither heparin nor warfarin dissolves clots. They are anticoagulants that prevent further clot formation, not thrombolytics that break down existing clots.

A. Chronic joint inflammation B. Pain C. Infection D. Immobility

Correct Answer is C

Explanation

A. Chronic joint inflammation is a common feature of osteoarthritis, but it does not necessarily preclude surgery. In fact, joint inflammation is often a reason for considering a total knee arthroplasty.
B. Pain is a typical symptom of osteoarthritis, but it is not a reason to postpone surgery. Pain management can be addressed during the perioperative period.
C. Infection is a critical factor that would delay surgery. If the patient has an active infection, particularly in the joint or surrounding tissues, the risk of spreading the infection during surgery is high, and the procedure would need to be postponed until the infection is resolved.
D. Immobility is a concern for postoperative recovery but does not typically delay surgery. Physical therapy and rehabilitation can address immobility after the procedure.

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The nurse is caring for a patient with a fracture who has a Buck's traction boot in place. The boot helps decrease which condition?

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Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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