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Exam (elaborations)

NCLEX17 Question and answers verified to pass

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  • Course
  • Musculoskeletal
  • Institution
  • Musculoskeletal

NCLEX17 Question and answers verified to pass The nurse is one of several people who witness a vehicle hit a pedestrian at a fairly low speed on a small street. The individual is dazed and tries to get up, and the leg appears fractured. The nurse should plan to perform which action? 1. Try to ma...

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  • August 18, 2024
  • 6
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • nclex17
  • Musculoskeletal
  • Musculoskeletal
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NCLEX - PN Ch.59 - Musculoskeletal
System
The nurse is one of several people who witness a vehicle hit a pedestrian at a
fairly low speed on a small street. The individual is dazed and tries to get up,
and the leg appears fractured. The nurse should plan to perform which
action?


1. Try to manually reduce the fracture
2. Assist the person to get up and walk to the sidewalk
3. Leave the person for a few moments to call an ambulance
4. Stay with the person and encourage the person to remain still - correct
answer ✔Stay with the person and encourage them to remain still


The nurse witnesses a client sustain a fall and suspects that the clients leg
may be fractured. Which action is the priority?


1. Take a set of vital signs
2. Call the radiology department
3. Immobilize the leg before moving the client
4. Reassure the client that everything will be fine - correct answer
✔Immobilize the leg before moving the client


A client with a hip fracture asks the nurse why Buck's extension traction is
being applied before surgery. The nurses response is based on the
understanding that Buck's extension traction has which primary function?


1. Allows bony healing to begin before surgery

, 2. Provides rigid immobilization of the fracture site
3. Lengthens the fractured leg to prevent severing of blood vessels
4. Provides comfort by reducing muscle spasms and provides fracture
immobilization - correct answer ✔Provides comfort by reducing muscle
spasms and provides fracture immobilization


The nurse is evaluating the pin sites of a client in skeletal traction. The nurse
would be least concerned with which finding?


1. Inflammation
2. Serous drainage
3. Pain at a pin site
4. Purulent drainage - correct answer ✔Serous drainage


The nurse is caring for the client who has had skeletal traction applied to the
left leg. The client is complaining of severe left leg pain. Which action should
the nurse take first?


1. Provide pin care
2. Call the health care provider (HCP)
3. Check the clients alignment in bed
4. Medicate the client with an analgesic - correct answer ✔Check the clients
alignment in bed


The nurse has provided instructions regarding specific leg exercises for the
client immobilized in right skeletal lower leg traction. The nurse determines
that the client needs further teaching if the nurse observes the client doing
which activity?

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