The nurse is caring for a patient in traction. What nursing action would be appropriate in caring for the traction weights? (Select all that apply.)
a. Allow weights to hang freely in place.
b. Hold weights up if the patient is shifting position in bed.
c. Remove weights if the patient is being moved up in bed.
d. Lighten weights for short periods if the patient reports pain.
e. Use assistance to reposition the patient in bed.
ANS: A, E
Weights are to hang unobstructed and should never touch the floor or be removed or lifted. Assistance should be used to pull the patient up in bed to protect the health-care worker from injury.
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The wound care nurse prepares to dress the clients' wounds. Which wound should receive a transparent film dressing?
1. Clean, superficial laceration 2. Deep leg ulcer with infection 3. Puncture wound with bleeding 4. Large laceration over eyebrow