The patient is brought into the emergency department after falling on the ice in her driveway. She is suspected of having a fractured hip
After comparing different available types of traction, she anticipates that which of the following will be used?
a. Bryant's traction
b. Dunlop's traction
c. Buck's extension
d. Gallows traction
C
Buck's extension provides temporary immobilization of a hip fracture until open reduction and internal fixation (ORIF) can be performed. It also reduces muscle spasms, contractures, and dislocations and occasionally is used as an interim treatment for lumbosacral muscle spasms that cause low back pain. Bryant's traction (called Gallows in England) is no longer used because of the risk for gravitational vascular draining of the extremities and the possible tourniquet effect of bandages, triggering vasospasms and avascular necrosis. Dunlop's traction is a simultaneous horizontal form of Buck's extension to the humerus with an accompanying vertical Buck's extension to the forearm.
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The nurse uses which of the following alternatives to restraints when ever possible: Standard Text: Select all that apply
1. Place clients who are at risk for falls in an area that is constantly supervised 2. Lock the wheels on the clients wheelchair 3. Use environmental restraints 4. Use rocking chairs to expend energy 5. Monitor client medications
The nurse is caring for a patient who has developed obvious signs of pulmonary edema. What is the priority nursing action?
A) Lay the patient flat. B) Notify the family of the patient's critical state. C) Stay with the patient. D) Update the physician.
When caring for childbearing families from cultures different from one's own, which of the following must the nurse accomplish first?
A) Adapting to the practices of the family's culture B) Determining similarities between both cultures C) Assessing personal feelings about that culture D) Learning as much as possible about that culture
Individuals with chronic mental illness frequently have a difficult time breaking the cycle of homelessness
The social factor that most contributes to the breakdown in the effectiveness of mental health care services for the homeless mentally ill involves: A) Frustration and exhaustion of the family support system B) Continued cuts to Medicare and Medicaid C) The lack of judgment and self-care skills associated with mental illness D) The policy of deinstitutionalization