MDC 1 Exam 2

1. A client's left leg is in skeletal traction with a Thomas leg splint and Pearson attachment.

Which intervention should the nurse include in this client's care plan?

A. Apply the traction straps snugly.

B. Assess the client's level of consciousness.

C. Remove the traction at least every 8 hours.

D. Teach the client how to prevent problems caused by immobility.

- D. Teach the client how to prevent problems caused by immobility.

2. A nurse is caring for a client placed in traction to treat a fractured femur. Which nursing

intervention has the highest priority?

A. Assessing the extremity for neurovascular integrity

B. Keeping the client from sliding to the foot of the bed

C.Keeping the ropes over the center of the pulley

D. Ensuring that the weights hang free at all times

- A. Assessing the extremity for neurovascular integrity

3. Which orthopedic surgery is done to correct and align a fracture after surgical dissection

and exposure of the fracture?

A.Arthrodesis

B.Joint arthroplasty

C.Total joint arthroplasty

D.Open reduction

- D.Open reduction

4. The client displays manifestations of compartment syndrome. What treatment will the

nurse expect the client to be scheduled for?

A. An open reduction

B. A fasciotomy

C. A total hip replacement

D. A total knee replacement

- B. A fasciotomy

5. A client who is undergoing skeletal traction reports pressure on bony areas. Which

action would be most appropriate to provide comfort for the client?

A. Assisting with range-of-motion and isometric exercises.

B. Changing the client's position within prescribed limits.

C. Administering prescribed analgesics.

D. Applying warm compresses.

- B. Changing the client's position within prescribed limits.

6. A client's fracture was reduced by surgically exposing the bone and realigning it. What

type of treatment does the nurse identity this as?

A.Buck's traction

B.Skeletal traction

C.Internal fixation

D.Open reduction

- D.Open reduction