A nurse anticipates that the type of traction that will be used for an adult client with a fractured humerus is:
A. Bryant's traction
B. Dunlop's traction
C. Weil sling
D. Buck's extension traction
B
B. Dunlop's traction is a simultaneous horizontal form of Buck's extension to the humerus with an accompanying vertical Buck's extension to the forearm.
A. Bryant's traction is a vertically held type of bilateral traction to the legs. This type of traction can be used for children weighing less than 35 to 40 lb.
C. Pelvic sling (Weil sling) is traction consisting of a hammocklike belt wherein the sling cradles the pelvis in its boundaries for treatment of one or more fractures of the pelvic bones.
D. Buck's extension provides temporary immobilization of hip fracture until open reduction and internal fixation (ORIF) can be performed. It is also used to reduce muscle spasms, contractures, and dislocations and occasionally as an interim treatment for lumbosacral muscle spasms causing low back pain.
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The nurse is aware that the use of a pain flow sheet in the critical care setting allows for
a. visible and ongoing pain assessment and management of pain. b. pain assessment and control in postoperative patients treated in the ICU. c. evaluation of analgesic treatments. d. recording vital signs.
The K+ laboratory report shows a level of 5.2 mEq/L. What is the most important assessment for the nurse to make?
a. Excessive thirst b. Irregular heartbeat c. Swelling of ankles d. Frightening hallucinations
A patient learning that her newborn baby has a genetic disorder tells the nurse that it was because a stranger gave her baby the "evil eye." What should this information suggest to the nurse?
1. The patient's culture supports the notion that a stranger looking at the baby caused the disorder. 2. The patient needs psychiatric counseling. 3. The patient is not going to be a good mother since she permits strangers around the baby. 4. Healthcare dollars should not be spent trying to change this patient's opinion of why the baby has a genetic disorder.
The nurse checks the patient's laboratory work prior to administering a dose of vancomycin (Vancocin) and finds that the trough vancomycin level is 24 mcg/mL. What will the nurse do next?
a. Administer the vancomycin as ordered. b. Hold the drug, and administer 4 hours later. c. Hold the drug, and notify the prescriber. d. Repeat the test to verify results.