An elderly client admitted to the orthopedic unit after ...

[MGLQZ]

An elderly client admitted to the orthopedic unit after fracturing a hip is placed in Buck's traction. Which of the following is an appropriate nursing intervention for this client?
 
  1. Provide pin site care every shift as ordered by the physician
   2. Place an abduction pillow between the legs for alignment
   3. Have another person hold the weights when repositioning in bed
   4. Turn to the unaffected side every two hours

Question 2

Which of the following would be appropriate interventions for a victim of interpersonal violence? (Select all that apply.)
 
  1. Use a supportive, nurturing approach.
   2. Educate the client on how to avoid future incidents of violence.
   3. Help the client identify intra- and interpersonal strengths.
   4. Distract the client to avoid overwhelming feelings about the situation.
   5. Maintain objectivity and offer short, to the point responses.

[Li Jun]

Answer to Question 1

3. Have another person hold the weights when repositioning in bed

Rationale:
Buck's traction is used preoperatively to control muscle spasms, immobilize a fractured hip, and maintain alignment of an extremity. Often, clients will scoot down toward the end of the bed, causing the weights to rest on the floor. To avoid injury and added pain, one person holds the weights while the others use a lift sheet to reposition the client. Buck's traction is skin traction; no skeletal pins are used. An abduction pillow is used postoperatively, and a client cannot be turned with this type of therapy.

Answer to Question 2

1. Use a supportive, nurturing approach.
3. Help the client identify intra- and interpersonal strengths.

Rationale:
The nurse should use a supportive, nurturing approach because it is important for victims of interpersonal violence to feel supported and cared for in order to develop trust and work through their issues. The nurse should also help the client identify intra- and interpersonal strengths because recognition of strengths will decrease feelings of helplessness. Educating the client on how to avoid future incidents of violence is not therapeutic and implies that the incident might have been the client's fault. Distracting the client will prolong the grieving process, and the client will be left with unresolved conflicted feelings. Maintaining objectivity and providing short responses discourages communication and does not offer the client the empathy and support that are needed.

[MGLQZ]

TY

[Li Jun]

You're welcome