While in Buck's extension traction, the client may be positioned: ...

[a0266361136]

While in Buck's extension traction, the client may be positioned:
 
  A. On the back, with the knees flexed 45 degrees
  B. On the back, turning to the unaffected side for 10- to 15-minute periods
  C. On the back, with the buttocks slightly elevated off the bed
  D. On the back, with the bed tilted toward the side that is opposite the traction

Question 2

A nurse, while checking a client's record, determines that intraspinal analgesia is contraindicated as a result of:
 
  A. The postoperative state
  B. Elevated prothrombin times
  C. A history of cardiopulmonary complications
  D. A diagnosis of advanced cancer

[briseldagonzales]

Answer to Question 1

B
A, B, C, and D. Position client as requested by physician: position varies with part of body to be placed in traction, plus effects of weight and gravity. Body parts are kept anatomically aligned. Buck's extension: client on back; head of bed flat or elevated no more than 30 degrees. Buck's extension: Client is primarily on back; may be allowed to turn to unaffected side for brief periods (10 to 15 minutes).

Answer to Question 2

B
B. Recent anticoagulants may contraindicate the placement of epidural catheter because of the inability to apply pressure at the epidural insertion site.
A, C, and D. Certain conditions may make epidural analgesia the method of choice for pain control: postoperative states, clients with trauma or advanced cancer that is not responsive to other pain management modalities, and those predisposed to cardiopulmonary complications because of preexisting medical condition or surgery.