The RN from the previous shift reports that the traction on her client for a fractured femur doesn't look "right". You enter the room to perform an assessment of the client's traction. This will include:

a. examining the pulleys to make sure the rope is aligned correctly
b. remove the weight to help the client move up in the bed
c. rest the weight on the client's bed to assist with the assessment
d. add more weight to assist with improved alignment


A
It is important for the RN to assess the client's traction. The clinician should check all traction wires, pulleys, and weights. Weights should hang free and are not removed unless a health-care provider writes specific orders for removal.

Nursing

You might also like to view...

Name the Six Rights of Medication Administration

What will be an ideal response?

Nursing

What question helps determine the significance of a research study?

a. "Does this study build on previous work in the area?" b. "Is the report well written and easy to read, thereby conveying the essence and importance of the research?" c. "Is the topic of the study one that is of interest to the researcher?" d. "Will this study provide significant statistical information?"

Nursing

A student caring for an unconscious patient knows that communication is important even if the patient does not respond. Which nonverbal action by the student would communicate caring?

A) making constant eye contact with the patient B) waving to the patient when entering the room C) sighing frequently while providing care D) holding the patient's hand while talking

Nursing

A patient experiencing panic suddenly began running and shouting, "I'm going to explode!" Select the nurse's best action

a. Ask, "I'm not sure what you mean. Give me an example." b. Capture the patient in a basket-hold to increase feelings of control. c. Tell the patient, "Stop running and take a deep breath. I will help you." d. Assemble several staff members and say, "We will take you to seclusion to help you regain control."

Nursing