Nokea
When the client asks the nurse what is meant by the term manipulation, which explanation is most accurate?
- A. Manipulation involves making an incision to realign the bones.
- B. Manipulation involves the insertion of a pin or wire into the joint.
- C. Manipulation repositions the bone ends manually.
- D. Manipulation strengthens the joint with exercise.
Correct Answer: C
Rationale: Manipulation for a dislocated shoulder involves manually repositioning the bone ends into their normal alignment without surgical intervention. Incisions or pins are used in surgical procedures, and exercise is for rehabilitation, not repositioning.
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The physician orders that the client with a hip prosthesis may be out of bed to sit in a chair. How should the nurse position the chair to facilitate transferring the client to the side?
- A. At the end of the bed
- B. Perpendicular to the bed
- C. Parallel with the bed
- D. Against a side wall
Correct Answer: C
Rationale: Positioning the chair parallel to the bed allows the client to transfer safely to the nonoperative side, maintaining hip alignment and minimizing the risk of dislocation during the transfer.
Which nursing action is appropriate while the client is being transported?
- A. The nurse leaves the traction as is.
- B. The nurse removes the weights during the transport.
- C. The nurse rests the weights on the end of the bed.
- D. The nurse takes the client's leg out of the traction.
Correct Answer: B
Rationale: Removing the weights during transport prevents unintended movement or injury while maintaining the leg's position. Leaving traction as is or resting weights risks disrupting alignment, and removing the leg negates traction benefits.
The client is prescribed Fosamax, a bisphosphonate. Which information should the nurse teach?
- A. Take this medication with a full glass of water.
- B. Take with breakfast to prevent gastrointestinal upset.
- C. Use sunscreen to prevent sensitivity to sunlight.
- D. This medication increases calcium reabsorption.
Correct Answer: A
Rationale: Fosamax is taken with water to prevent esophageal irritation. Food reduces absorption, photosensitivity is not a side effect, and it inhibits bone resorption, not calcium reabsorption.
The client admitted with a diagnosis of a fractured hip who is in Buck's traction is complaining of severe pain. Which intervention should the nurse implement?
- A. Adjust the patient-controlled analgesia (PCA) machine for a lower dose.
- B. Ensure the weights of the Buck's traction are off the floor and hang freely.
- C. Raise the head of the bed to 45 degrees and the foot to 15 degrees.
- D. Turn the client on the affected leg using pillows to support the other leg.
Correct Answer: B
Rationale: Proper Buck’s traction alignment (weights off floor) reduces pain from misalignment. Adjusting PCA, bed positioning, or turning may worsen pain or are inappropriate.
Until a translator is available, which nursing action is best when teaching the client who speaks English as a second language about body mechanics?
- A. Speak slowly while looking at the client.
- B. Write the instructions on paper.
- C. See the client and the patient.
- D. Have the client watch a video.
Correct Answer: A
Rationale: Speaking slowly while maintaining eye contact enhances comprehension for a non-native speaker, using nonverbal cues to reinforce verbal instructions until a translator is available.