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Questions 148

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Question 1 of 5

Skeletal traction is applied to the right femur of a client injured in a fall. The primary purpose of the skeletal traction is to:

Correct Answer: D

Rationale: Skeletal traction for a femoral injury aims to realign femoral bone fragments, promoting proper healing and preventing deformity.

Question 2 of 5

The client is admitted to the chemical dependence unit with an order for continuous observation. The nurse is aware that the doctor has ordered continuous observation because:

Correct Answer: B

Rationale: Continuous observation is needed due to the altered perception caused by hallucinogens, which can lead to unsafe behaviors.

Question 3 of 5

Which of the following is a metabolic, life-threatening adverse reaction to general anesthesia?

Correct Answer: B

Rationale: Malignant hyperthermia is a life-threatening reaction to general anesthesia, characterized by rapid temperature increase due to muscle hypermetabolism.

Question 4 of 5

The nurse is assigned to care for the client with a Steinmen pin. During pin care, she notes that the LPN uses sterile gloves and Q-tips to clean the pin. Which action should the nurse take at this time?

Correct Answer: A

Rationale: Sterile technique is appropriate for pin care; assisting maintains the sterile field.

Question 5 of 5

The nurse is caring for a client who fractured her leg in a motor vehicle accident. A cast is applied. The nurse will assess which of the following? Select all that apply.

Correct Answer: A, B, C, E

Rationale: Assessing pulses, capillary refill, skin temperature, and neurovascular symptoms (pain, numbness, tingling, movement) ensures circulation and nerve function are intact; squeezing the cast is inappropriate.

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