Which assessment finding should the nurse expect to observe when evaluating the effectiveness of Buck's traction for a patient who has an intracapsular fracture of the right femur?
A. Visible signs of bone healing on an X-ray.
Increased swelling and redness in the right hip.
Improved range of motion in the right hip.
Decrease in hip pain.
The Correct Answer is D
Choice A rationale
Visible signs of bone healing on an X-ray would not be expected after Buck's traction. Healing takes longer to become visible on an X-ray.
Choice B rationale
Increased swelling and redness would indicate complications such as infection or thrombophlebitis, not the effectiveness of traction.
Choice C rationale
Improved range of motion would not typically be expected while Buck's traction is in place. The primary purpose is to reduce pain and immobilize the fracture.
Choice D rationale
Decrease in hip pain is a direct indicator of the effectiveness of Buck's traction in alleviating symptoms and preventing further injury to the fractured femur.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
Choice A rationale
Lying down after meals can increase the risk of acid reflux in individuals with a hiatal hernia. Patients are often advised to remain upright after eating to minimize symptoms.
Choice B rationale
Elevating the head of the bed helps prevent gastric contents from refluxing into the esophagus, reducing symptoms of hiatal hernia and promoting better sleep.
Choice C rationale
Reducing caffeine and spicy foods can help manage symptoms, as these substances can irritate the stomach lining and exacerbate reflux in hiatal hernia patients.
Choice D rationale
Maintaining a healthy weight is important because excess weight can increase abdominal pressure and contribute to the worsening of hiatal hernia symptoms.
Choice E rationale
Drinking less fluid is not typically a recommendation for hiatal hernia. Adequate hydration is important for overall health, and reducing fluid intake may not have a significant impact on symptoms.
Correct Answer is A
Explanation
Choice A rationale
Alcoholism is a common cause of hypomagnesemia due to poor dietary intake, increased renal excretion, and gastrointestinal losses. Chronic alcohol consumption leads to malnutrition and loss of magnesium through the urine, contributing to low magnesium levels.
Choice B rationale
Dehydration typically leads to hemoconcentration, which can elevate, rather than decrease, magnesium levels. Thus, it is not usually associated with low magnesium levels.
Choice C rationale
Kidney failure generally causes hypermagnesemia, not hypomagnesemia, because the kidneys cannot efficiently excrete magnesium, leading to its accumulation in the blood.
Choice D rationale
Excessive magnesium intake would result in hypermagnesemia, not hypomagnesemia, as the body accumulates more magnesium than it can excrete.
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