A group of nursing students are reviewing information about the type of skin and skeletal traction. The students demonstrate understanding of this information when they identify which of these as a type of skeletal traction?
A) Russell traction
B) Bryant traction
C) Buck traction
D) Side arm 90-90 traction
Ans: D
Side arm 90-90 traction is a type of skeletal traction with force applied through a pin in the distal femur. Russell traction, Bryant traction, and Buck traction are types of skin traction.
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A client has a sickle cell crisis with extreme lower extremity pain. What comfort measure does the nurse delegate to the unlicensed assistive personnel (UAP)?
a. Apply ice packs to the client's legs. b. Elevate the client's legs on pillows. c. Keep the lower extremities warm. d. Place elastic bandage wraps on the client's legs.
The patient talks with his dead brother and arranges furniture so that his brother will have a place to sit. The nurse documents this behavior as:
a. disordered thinking. b. anhedonia. c. hallucination. d. alogia.
Which technique is most effective when communicating with a client who is positioned in bed?
a. Sitting in a chair at the foot of the bed b. Standing near the client's head on his or her dominant side c. Sitting in a chair at the bedside facing the client d. Standing at the foot of the bed
Which assessment data best indicates to the nurse that an older client is experiencing undernutrition?
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