The nurse assesses the traction boot for a proper fit. Which does the nurse observe with a properly fitting traction boot used with Buck's traction? The client's:
1. Heel rests firmly on boot's inner heel padding
2. Leg slips out of the boot after applying weight
3. Pain level increases from 4 to 7 on a scale of 10
4. Traction boot fits snugly without pressure points
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4. The nurse observes a snug fit without prolonged exposure to pressure for leg pro-tection against traction forces; the boot maintains adequate neurovascular function and provides effective traction to the affected region. The nurse should also observe a well-seated heel in the boot and baseline neurovascular assessment findings.
1. Padding at the heel of a traction boot is contraindicated because the boot is manu-factured to distribute pressure over the heel and leg.
2. The traction boot is loose if the leg slips out after applying traction forces.
4. Increasing client pain level after treatment or a procedure potentially indicates therapy is ineffective or harmful and provides the nurse with a cue to reassess the client because, after application of traction, the pain level should decrease.
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The nurse is addressing a group of older adults who are learning to use computers in a class for senior citizens. The nurse promotes safety by encouraging the group to:
1. Download instant messaging so they can keep in touch with others. 2. Avoid social networking sites such as Facebook. 3. Guard their personal information. 4. Avoid living alone to reduce stranger danger.
A nurse at a care facility assists with numerous aspects of residents' care. Which of the following ergonomic hazards is the nurse likely to face when providing care?
A) Assisting with dressing B) Lifting heavy loads C) Carrying medical equipment D) Administering physiotherapy
The nurse working in the operating room of the hospital should:
a. not worry about inhaling anesthetic agents because a mask is worn. b. be sure the work area is well-ventilated. c. be checked annually for levels of halogenated anesthetics. d. avoid contact with clients who have received inhalation anesthesia.
Which foods, activities, and drugs does the nurse teach the patient with peptic ulcer disease to avoid? (Select all that apply.)
a. Alcohol b. Caffeine c. Dairy products d. Exercising e. Smoking f. Spicy food g. Nonsteroidal anti-inflammatory drugs (NSAIDs)