PAPER 2026 VERIFIED SOLUTIONS HIGH
PERFORMANCE RESULTS
◉ Communicating with clients who have limited English proficiency.
Answer: Use gestures to increase understanding, recalling the
client's nonverbal communication values. ●Speak slowly at normal
volume, avoiding abbreviations and slang. Use layman's terminology.
●Determine client understanding throughout the conversation.
Smiling and nodding can be demonstrations of respect, not
understanding. ●Use printed materials suited to the client's level of
understanding.
◉ Musculoskeletal Trauma: Skeletal Traction. Skin:.
Answer: Primary purpose is to decrease muscle spasms and
immobilize the extremity prior to surgery. The pulling force is
applied by weights that are attached by rope to the client's skin with
tape, straps, boots, or cuffs. Examples include Bryant's traction (used
for congenital hip dislocation in children) and Buck's traction (used
preoperatively for hip fractures for immobilization in adult clients).
◉ Musculoskeletal Trauma: Skeletal Traction. Skeletal.
Answer: Skeletal: Screws are inserted into the bone (such as halo
traction). Can use heavier weights (15 to 30 lb) and longer traction
, time to realign the bone. Provide frequent pin site care to prevent
infection.
◉ Musculoskeletal Trauma: Skeletal Traction. NURSING ACTIONS.
Answer: Assess neurovascular status of the affected body part every
hour for 24 hr and every 4 hr after that. Maintain body alignment
and realign if the client seems uncomfortable or reports pain. Avoid
lifting or removing weights. Ensure that weights hang freely and are
not resting on the floor. If the weights are accidentally displaced,
replace the weights. If the problem is not corrected, notify the
provider. Ensure that pulley ropes are free of knots, fraying,
loosening, and improper positioning at least every 8 to 12 hr. Notify
the provider if the client experiences severe pain from muscle
spasms unrelieved with medications or repositioning. Move the
client in halo traction as a unit, without applying pressure to the
rods. This will prevent loosening of the pins and pain. Routinely
monitor skin integrity and document. Use heat/massage as
prescribed to treat muscle spasms. Use therapeutic touch and
relaxation techniques.
◉ Dietary for renal failure.
Answer: It is always important to assess daily weights, I &O, and
ensuring fluid restrictions are followed in the event that one is in
place. Constipation may also need to be watched for as fluid
restriction can increase this problem. Protein restrictions need to be
in place as this will help slow the progression of the disease, but to
little protein can also decrease the bodies own proteins. Proper