Which nursing intervention is appropriate for a client with skeletal traction?

Pin site care

Five-pound weight lifting restriction

Prone positioning

Intermitent weights

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A reason (client care): A client reporting shortness of breath may be experiencing a life-threatening situation that aligns with the ABCs (Airway, Breathing, Circulation) of patient prioritization. This client requires immediate assessment and intervention.

Choice B reason (client care): While discharge is important, it does not take precedence over a client with potential respiratory distress.

Choice C reason (client care): A client who received pain medication 30 minutes ago is likely stable and can be seen after more urgent cases are addressed.

Choice D reason (client care): A client waiting for an abdominal x-ray is not a priority over a client with respiratory issues.

A. This medication can be stopped after you are seizure-free for a 6-month period. B. Only take the medication when you are under stress because that's when you are most likely to have a seizure. C. This medication might need to be continued for the rest of your life. D. Your seizures are cured only as long as you take the medication.

Correct Answer is C

Explanation

Choice A reason: Stopping seizure medication such as phenytoin without medical advice can lead to life-threatening seizures. It is not recommended to stop after a set period of being seizure-free without consulting a healthcare provider.

Choice B reason: Phenytoin should not be taken only during periods of stress; it is intended to be used consistently to maintain therapeutic levels in the body.

Choice C reason: Phenytoin may need to be continued indefinitely, depending on the individual's condition and the doctor's recommendation. It is often used as a long-term treatment for seizure control.

Choice D reason: This statement is misleading; while phenytoin helps control seizures, it does not cure the underlying condition causing them.

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Which nursing intervention is appropriate for a client with skeletal traction?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

Correct Answer is C

Explanation

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