Which action will the nurse take in order to evaluate the effectiveness of Buck's traction for a 62-year-old patient who has an intracapsular fracture of the right femur?

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Question 1 of 4

Which action will the nurse take in order to evaluate the effectiveness of Buck's traction for a 62-year-old patient who has an intracapsular fracture of the right femur?

Correct Answer: B

Rationale: Choice B as reduced hip pain indicates Buck's traction effectiveness in relieving spasm. Pulses (choice A) assess circulation, not traction; contractures (choice C) and dislocation (choice D) are unrelated risks. This reflects NCLEX Physiological Integrity, using pain as a primary outcome measure in traction evaluation.

Question 2 of 4

Before assisting a patient with ambulation 2 days after a total hip replacement, which action is most important for the nurse to take?

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 4

After receiving 2 L of normal saline, the central venous pressure for a patient who has septic shock is 10 mm Hg, but the blood pressure is still 82/40 mm Hg. The nurse will anticipate an order for

Correct Answer: B

Rationale: Choice B as norepinephrine increases SVR and BP in septic shock when fluids fail, enhancing perfusion. Nitroglycerin (choice A) and nitroprusside (choice C) lower BP, inappropriate here, and methylprednisolone (choice D) is a later adjunct. This aligns with NCLEX Physiological Integrity, planning escalation of care for persistent hypotension in sepsis.

Question 4 of 4

The nurse is caring for a patient who has septic shock. Which assessment finding is most important for the nurse to report to the health care provider?

Correct Answer: B

Rationale: Choice B as cool, clammy skin signals progression from early warm septic shock to hypoperfusion, needing urgent reporting. BP (choice A), saturation (choice C), and heart rate (choice D) are concerning but expected. This aligns with NCLEX Physiological Integrity, prioritizing signs of worsening shock.

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