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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","E"]
Explanation
A. Dim lighting is a safety hazard for a stroke client as it can increase the risk of falls, especially if the client has impaired vision or balance. Adequate lighting is crucial for safety.
B. A hot water heater set at 54°C (130°F) is too high and can cause burns, especially for a client with impaired sensation or mobility after a stroke. The recommended temperature for water heaters is 49°C (120°F) to prevent burns.
C. Storing medications in a clear bag is not a safety hazard, but it is important that medications are stored in a safe, organized manner to prevent confusion or incorrect dosing.
D. Grab bars in the bathroom are an essential safety feature and help prevent falls, especially in areas where the client might be unsteady, such as the bathroom.
E. Area rugs can be a tripping hazard, particularly for clients with impaired mobility or balance. Rugs should be removed or secured to prevent falls.
Correct Answer is A
Explanation
A. Administering 0.9% normal saline at 50 mL/hr continuous is not appropriate for a client with acute heart failure. This solution is isotonic and may contribute to fluid overload, which could worsen the heart failure. In acute heart failure, fluids are typically restricted, and intravenous solutions with a lower sodium content or diuretics are preferred to help manage fluid balance.
B. Laboratory testing of serum potassium is appropriate, as monitoring potassium levels is important in clients with heart failure, especially if they are on medications like diuretics, which can lead to electrolyte imbalances.
C. Bumetanide, a loop diuretic, is commonly used to treat fluid retention in heart failure. The prescribed dose of 1 mg IV bolus every 12 hours is appropriate for managing fluid overload.
D. Morphine sulfate can be used for pain management in acute heart failure, as it helps reduce anxiety, decrease preload, and relieve pain. The prescribed dose of 2 mg IV bolus every 2 hours PRN pain is within a reasonable range for pain control.
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