Which of the following are nursing considerations when maint…

Which of the following are nursing considerations when maintaining a client’s traction device?  “Select All that Apply.” a. rope should be strung through the pulleys.b. assess for the correct poundage.c. know the reason for the traction.d. be sure the weights rest squarely against the floor.e. know that the physician may change the prescription of applied force over the course of treatment

Your 36-year-old client suffered a fractured femur with mult…

Your 36-year-old client suffered a fractured femur with multiple trauma.  Which of the following would you report immediately? a. the client appears confused.b. the client complains of nausea.c. the client’s blood pressure is 136/88.d. the client voided using the bedpan.        

For your client to be physically mobile after the amputation…

For your client to be physically mobile after the amputation, which of the following nursing goals takes priority? a. Preventing contractures. b. Preventing edema. c. Preventing phantom limb pain.                                                       d. Preventing depression.

Your client fell 2 days ago.  He has a compound fracture of…

Your client fell 2 days ago.  He has a compound fracture of his left tibia. The physician performed an open reduction with internal fixation (ORIF) to treat the fracture. An important nursing assessment for the nurse to report to the doctor would include: a. hyperactive bowel sounds and nausea.b. elevated temperature and presence of erythema at incision site.c. ecchymosis at incision site.d. complaints of activity intolerance.

An 89-year-old has had a right below-the-knee amputation.  H…

An 89-year-old has had a right below-the-knee amputation.  He is progressing well, but continues to complain of pain in the toes on his right foot.  The physician told him he is suffering from “phantom pain” in his amputated extremity. He asks the nurse to explain “phantom pain”.  The most appropriate response would be: a. “Phantom pain does not exist except in your mind.”b. “I can’t answer that.  You’ll have to ask the physician.”c. “Phantom pain occurs because the nerve tracts that register pain in the amputated limb continue to send a message to the brain.”d. “Phantom pain occurs when you start thinking about your loss.  It’s best to keep your mind occupied with other things.”