Question

ACTO 2. A straight pull on the affected leg is assured. 3. A belt is applied just above and surrounding the iliac crests. The belt is then attached to a pulley system. 4. Vertical traction is used at the knee at the same time a horizontal force is exerted on the tibia and fibula. 7. The nurse is assessing the leg of a client in Russell's traction. Which area is it essential to assess? 1. Pedal area 2. Femoral area 3. Popliteal 4. Inner aspect of the thigh area 8. It is necessary to pull the client, who is in Russell's traction, up in bed. Which action should the nurse take? 1. Leave the weights in place. 2. Remove the weights completely. 3. Reduce the weight of the traction by one half. 4. Have one nurse lift the weights while the others pull the client. 9. The client has been flat in bed in traction for two weeks and she is to be allowed out e bed for the first time today. What must the nurse be particularly alert for when getting th client out of bed? 1. Renal complications 2. Depression 3. Orthostatic hypotension 4. Skin breakdown 10.The client is a 73-year-old woman who fell in her home and suffered a right hip fracture. She tells the nurse that she was walking across the kitchen and felt someth "snap" in her hip and this made her fall. What type of fracture is the client most lik have had? 1. Comminuted fracture 2. Greenstick fracture 3. Open fracture 4. Pathological fracture 11. The nurse knows that elderly women have a high incidence of hip fracture reason? 1. Decreased progesterone secretion 2. Decreased mobility due to arthritic conditions 3. Increased calcium absorption 4. Osteoporosis in the skeletal structure

Answer 1

ANSWER.

7) 3. Nurse should assess the Popliteal area of a patient in

        Russell's traction to identify circulatory obstruction which

        may occur due to pull at this area caused by this type of traction.

8) 1. Nurse should leave the weights in place when pull the patient and

        avoid removing weight frequently to get adequate support to the traction

        site.

9) 3. Nurse be particularly alert for Orthostatic hypotension when the patient is

        getting out of bed because it can happen when patient standing up first time

        after 2 weeks of flat position.

10) 4.This patient fell down after he felt fracture which indicate it is a pathological

           fracture.

11) 4.Elderly women have a higher incidence of hip fracture due to Osteoporosis in

         the skeletal structure.

         Decreased estrogen production after menopause is the reason for osteoporosis

         in elder women.