Client with a femoral fracture

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The client interaction for a fractured femur is having difficulty managing self-care activities. Which outcome indicates a successful completion of a goal promoting independence for this client? A) The client assess it as much as possible in care, demonstrating increased participation over time. B) The client allows the nurse to complete care in an efficient manner without interfering. C)The client allows the spouse to assume responsibility for care. D) The client excepts that self-care is not possible while in traction.

A The client assist as much as possible in care, demonstrating increased participation over time

Open the moral fractured was discharged to home and reports having a fever, night sweats, chills, restlessness, and restrictive movement of the fractured leg. The nurse should interpret these findings as the client may be experiencing which complication? A) A pulmonary embolus B) osteomyelitis C) fat embolus D) a urinary track infection

B osteomyelitis

Which goal is the priority for a client with a fractured femur who is in traction? A) Prevent effects of immobility while in traction. B) Develop skills to cope with prolonged immobility. C) Choose appropriate diversional activities during the prolonged recovery. D) Adapt to inactivity from the impaired mobility

A - prevent effects of Immobility while in traction

A client has a pearson attachment on a traction setup. What is the purpose of this attachment? A)To support the lower portion of the leg B) to support the thigh and upper leg C) to allow attachment of the skeletal pin D) to prevent flexion deformities in the ankle and foot

A - to support the lower portion of the leg

The nurse is planning care for a client with a femoral fracture who is in balanced suspension traction. Which nursing care can be included in the plan of care? A) Using a fracture bedpan when the client is in the trapeze to raise hips B) turning the client side decide to give back care C) raising the head of the bed to 90° to set the client up D) giving the client a complete bed bath

A using a fracture bedpan When the client in the trapeze to raise hips

Which sign indicates that the client with a fracture of the right femur may be developing a fat embolus? A) Acute respiratory distress syndrome B) migraine like headaches C) numbness in the right leg D) muscle spasms in the right thigh

A- acute respiratory distress syndrome

The nurse is planning care for a client with osteomyelitis. The client is taking an anabiotic, but the infection has not resolved. What should the nurse advise the client to do? A) Use herbal supplement. B) Eat a diet high in protein and vitamin C and D. C) The healthcare provider for a change of antibiotic D) encourage frequent passive range of motion to the affected extremity

B - eat a dirt high in protein and vitamin C and D

A client is in balance Spenton traction to maintain alignment of a fractured tibia which activities are safe for the client? A)Eat while lying flat. B) Raise the hips using trapeze. C) Rotate side to side. D)flex and extend the ankle on affected side.

B Raise the hip using trapeze

The client is in balanced suspension traction and is transported to surgery for closed reduction and external fixation of the fractured femur. What should the nurse do when transporting the client to the operating room? A) Transfer the client to a cart with manual suspended traction. B) Call the surgeon to request a prescription to temporarily remove the traction. C) Send the client on the bed with with extra help to stabilize. D) Remove the traction send the client on a cart.

C - Send a client on the bed with extra help to stabilize

After the nurse teaches the client about the use of skeletal traction, which statement made by the client about the purpose of the traction indicates need for an additional teaching? A) to line injured bone B) to provide long-term pull C) to apply 25 pounds of traction D) to pull weight with a boot

D - tp pull wt with a boot


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