A nurse cares for a client placed in skeletal traction. The client asks, What is the primary purpose of this type of traction? How should the nurse respond?
a. Skeletal traction will assist in realigning your fractured bone.
b. This treatment will prevent future complications and back pain.
c. Traction decreases muscle spasms that occur with a fracture.
d. This type of traction minimizes damage as a result of fracture treatment.
Question 2A nurse assesses a client with a pelvic fracture. Which assessment finding should the nurse identify as a complication of this injury?
a. Hypertension
b. Constipation
c. Infection
d. Hematuria
Question 3A nurse cares for a client who had a wrist cast applied 3 days ago. The client states, The cast is loose enough to slide off. How should the nurse respond?
a. Keep your arm above the level of your heart.
b. As your muscles atrophy, the cast is expected to loosen.
c. I will wrap a bandage around the cast to prevent it from slipping.
d. You need a new cast now that the swelling is decreased.
Question 4A nurse is caring for a client who is recovering from an above-the-knee amputation. The client reports pain in the limb that was removed. How should the nurse respond?
a. The pain you are feeling does not actually exist.
b. This type of pain is common and will eventually go away.
c. Would you like to learn how to use imagery to minimize your pain?
d. How would you describe the pain that you are feeling?
Question 5A home health nurse assesses a client with diabetes who has a new cast on the arm. The nurse notes the client's fingers are pale, cool, and slightly swollen. Which action should the nurse take first?
a. Raise the arm above the level of the heart.
b. Encourage range of motion.
c. Apply heat to the affected hand.
d. Bivalve the cast to decrease pressure.
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