what is a priority intervention when caring for a client in bucks traction
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Nursing Elites

ATI RN

Multi Dimensional Care | Final Exam

1. What is a priority intervention when caring for a client in Buck’s traction?

Correct answer: D

Rationale: The correct answer is to assess skin integrity when caring for a client in Buck’s traction. This is crucial as it helps prevent pressure ulcers and other skin-related complications. Choice A is incorrect because changing the size of the traction weights should be done based on healthcare provider orders, not as needed. Choice B is incorrect because discontinuing traction should be done only under healthcare provider direction, not solely based on pain relief. Choice C is incorrect as allowing the traction weights to rest on the floor is not a priority intervention compared to assessing skin integrity.

2. A nurse enters the hospital room of a client with reduced immunity. What observation requires further action by the nurse?

Correct answer: B

Rationale:

3. The following client come to the ophthalmology clinic. Which client needs to be seen first?

Correct answer: A

Rationale: Worsening vision after cataract surgery requires immediate attention to prevent complications.

4. The nurses assess the client's pain prior to completing a dressing change. The client says his current pain is 5/10, but he has pain of 10/10 when his dressing is changed. What is the priority intervention for this client?

Correct answer: C

Rationale:

5. What client is a susceptible host most at risk for infection?

Correct answer: A

Rationale:

Similar Questions

A client is experiencing numbness and tingling distal to a new arm cast with no increase in pain. The nurse assesses that the client's fingers are pale, cool and swollen. What action does the nurse take next?
Unlicensed assistive personnel (UAP) is assisting a client in traction. Which of these actions requires immediate intervention?
Antibodies are passed from mother to fetus through the placenta. What is this type of immunity called?
The nurse suspects a 3-year-old who is coughing vigorously has aspirated a small object. Which action should the nurse take?
What is a sign of inadequate perfusion?

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