Which nursing intervention is appropriate for a client with skeletal traction?
Pin site care
Five-pound weight lifting restriction
Prone positioning
Intermitent weights
The Correct Answer is A
Choice A reason: Pin site care is essential for a client with skeletal traction to prevent infection and ensure proper healing.
Choice B reason: A five-pound weight lifting restriction is not related to the care of a client with skeletal traction.
Choice C reason: Prone positioning is not typically recommended for clients with skeletal traction as it may interfere with the traction setup.
Choice D reason: Intermitent weights are not a standard intervention for skeletal traction, which requires consistent and controlled application of force.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Lethargy implies a state of sluggishness, drowsiness, or fatigue, not the inability to respond to stimuli.
Choice B reason: Stupor refers to a state of near-unconsciousness or insensibility, but the patient may respond to vigorous stimulation.
Choice C reason: Obtundation describes a state of consciousness characterized by a reduced alertness and a slow response to stimuli, but not complete unresponsiveness.
Choice D reason: Comatose is the correct term for a state of deep unconsciousness in which a patient cannot be aroused, fitting the description of the patient's condition.
Correct Answer is C
Explanation
Choice A reason: An RBC count of 4,500,000/mL is within the normal range and would not typically cause symptoms of anemia.
Choice B reason: Normal RBC indices do not indicate anemia and would not explain the symptoms.
Choice C reason: A hemoglobin level of 8.2 g/dL is below the normal range and would be consistent with symptoms of anemia such as fatigue and palpitations.
Choice D reason: A hematocrit of 38% is within the normal range for adult males and would not typically be associated with anemia symptoms.
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