The nurse is collaborating with the physical therapist to assist a patient in skin traction with range of motion exercises. Which action demonstrates effective nursing collaboration?
Taking over the physical therapist's role in performing the exercises.
Informing the physical therapist that the exercises are unnecessary.
Asking the physical therapist for input on the patient's progress.
Disregarding the physical therapist's recommendations.
The Correct Answer is C
Asking the physical therapist for input on the patient's progress demonstrates effective nursing collaboration. The physical therapist's expertise is valuable in assessing the patient's response to range of motion exercises in traction.
a. Taking over the physical therapist's role in performing the exercises is not appropriate, as each healthcare professional has a specific scope of practice and should work collaboratively.
b. Informing the physical therapist that the exercises are unnecessary disregards the physical therapist's expertise and is not conducive to effective collaboration.
d. Disregarding the physical therapist's recommendations undermines the collaborative effort and diminishes the potential benefits of working together.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The patient being unable to move the affected limb in skin traction requires further assessment. Traction should allow some degree of movement, and the nurse should investigate the cause of the restricted motion and take appropriate action.
a. The patient being able to perform active range of motion exercises indicates that some mobility is possible with the traction, which is a positive finding.
b. The patient experiencing some discomfort during range of motion exercises is not unexpected, as traction may cause some discomfort due to realignment of the bone.
d. The patient having difficulty moving the affected limb may be expected with skin traction, and the nurse should continue to monitor the patient's progress.
Correct Answer is D
Explanation
Visible signs of skin breakdown under the traction tape require immediate intervention. It indicates that the skin is compromised, and the patient is at risk of developing pressure ulcers or skin breakdown. Prompt action is necessary to prevent further damage and ensure patient safety.
a. Slight redness at the site of the traction tape may be expected, and the nurse should monitor for any signs of worsening or discomfort. It does not require immediate intervention unless it progresses.
b. Mild discomfort during movement of the affected limb is common with skin traction, and the nurse should assess for any signs of worsening or intolerable pain.
c. Pain rated as 6 out of 10 on the pain scale should be addressed, but it does not require immediate intervention unless it is associated with other concerning signs or symptoms
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