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Chapter 23: Problem 24

The nurse is participating in the orientation of a new nurse on the orthopedic unit. Which action by the new nurse requires intervention? A. Asking the client with a cast on the leg to move the toes B. Checking and documenting the weight amounts on the client's with traction C. Assisting with a bed change on a client with traction by removing and replacing the linen top to bottom D. Helping a family member get a client with a prosthetic hip into a straight chair

Short Answer

Expert verified
Answer: C. Assisting with a bed change on a client with traction by removing and replacing the linen top to bottom.

Step by step solution

01

Analyze option A

In this option, the new nurse asks the client with a cast on the leg to move the toes. This is an appropriate action, as it helps to ensure the patient maintains circulation to the toes and prevents complications such as blood clots.
02

Analyze option B

In option B, the new nurse checks and documents the weight amounts on the client's traction. This is also an appropriate action because documenting and monitoring the weights in traction is essential for the patient's safety and progress.
03

Analyze option C

In option C, the new nurse assists with a bed change on a client with traction by removing and replacing the linen top to bottom. This action is incorrect because it is important to maintain the patient's alignment and avoid disrupting the traction during linen changes. The proper way to change the linens is to roll the patient side to side to maintain alignment and avoid unnecessary movements.
04

Analyze option D

In option D, the new nurse helps a family member get a client with a prosthetic hip into a straight chair. This action is appropriate as long as the nurse ensures the proper positioning and alignment of the patient during the transfer. The straight chair provides support and stability for the patient with a prosthetic hip.
05

Determine the correct answer

Based on the analysis of each option, the action that requires intervention is option C: assisting with a bed change on a client with traction by removing and replacing the linen top to bottom. Therefore, the correct answer is C.

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