A patient has been in skeletal traction for 3 weeks. The nurse caring for the patient knows to assess what every 4 to 8 hours?
A) Bladder
B) Respiratory status
C) Neurovascular status
D) Skin
Ans: B
Feedback: The nurse auscultates the patient's lungs every 4 to 8 hours to assess respiratory status and teaches the patient deep-breathing and coughing exercises to aid in fully expanding the lungs and clearing pulmonary secretions. The nurse would not assess the bladder, the skin, and the neurovascular status of the patient every 4 to 8 hours.
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