On entering the room of a child in Buck's traction, the nurse makes all of the following observations. Which observation requires a nursing intervention?
a. Child's heels are placed firmly against the foot of the bed.
b. Head of bed is elevated 20 degrees.
c. Weights are hanging freely.
d. Ropes are on pulleys.
ANS: A
Buck's traction is dependent on the child as a counterweight. The heels should be elevated above the level of the foot of the bed.
You might also like to view...
The significance of developing organized plans of care for patients cannot be stressed enough. In the planning phase, the nurse must take seriously the responsibility of: (Select all that apply.)
a. prioritizing patient needs. b. developing mutually agreed-on goals. c. determining outcome criteria. d. identifying interventions. e. implementation of the patient's plan of care.
Genetic testing reveals that a client has alteration of CFH and ARMS2 genes, which increases the risk of age-related macular degeneration (AMD). Which health teaching should the nurse provide?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. "You should make every effort to maintain a normal body weight." 2. "You should arrange your work and living quarters so that dimming vision will not be a safety issue." 3. "You should not smoke cigarettes." 4. "Your diet should be low in fat." 5. "You should take precautions to keep your stress level low."
Several specialists are involved in the treatment of the eye. Which of the following would be licensed to perform cataract surgery?
A) Ophthalmologist B) Optometrist C) Optician D) Ophthalmic technician
The nurse is conducting a health history with an older client with arthritis and heart disease. When gathering the sexual history for this client, what question should the nurse ask?
1. Do you have any difficulty with sexual desire and orgasm? 2. How often do you have sexual relations? 3. What type of contraception do you use? 4. Have there been any changes in your sexual functioning that might be related to your illness or the medications you take?