A 78-year-old retired teacher with a history of osteoporosis has fallen in her bathroom and sustained a supcapital femoral fracture. She is scheduled for an ORIF (open reduction inter-nal fixation) in the morning

The type of traction that the patient is most likely to be placed in preoperatively is: 1. Bryant's.
2. Buck's.
3. pelvic.
4. Crutchfield tongs.


2
Buck's traction is used in this case; the other options are not applicable.

PTS: 1 DIF: Cognitive Level: Analysis REF: 922
OBJ: 5 TOP: Traction KEY: Nursing Process Step: Evaluation
MSC: NCLEX: Physiological Integrity

Nursing

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The patient's membranes have just ruptured. The nurse is with her and knows that the first thing that must be done is to:

a. turn the patient on the left side. b. perform a Nitrazine test. c. check the fetal heart rate (FHR). d. perform a vaginal examination.

Nursing

The nurse is caring for a 79-year-old male who has a non–weight-bearing cast on the left lower extremity. The patient ambulates without using a walker despite repeated instruction from the nurse to call for assistance

Which response by the nurse is most likely to keep the patient from falling? a. Apply a vest restraint and offer frequent toileting. b. Plan fall prevention with patient, family, and healthcare provider. c. Inform family that the patient needs phys-ical restraints. d. Document that the patient has a high po-tential for falling.

Nursing

List five effects of immobility and identify which system(s) are affected.

What will be an ideal response?

Nursing