A client is admitted to your inpatient rehabilitation unit.(See exhibit.)The nurse formulates a care plan with which priority diagnosis?
A) Risk for Peripheral Neurovascular Dysfunction related to disruption of traction weights
B) Risk for Infection related to surgical incision and insertion of hardware
C) Risk for Disuse Syndrome related to use of traction to stabilize fracture
D) Acute Pain related to bone and soft tissue damage

Question

A client is admitted to your inpatient rehabilitation unit.(See exhibit.)The nurse formulates a care plan with which priority diagnosis? 
A) Risk for Peripheral Neurovascular Dysfunction related to disruption of traction weights 
B) Risk for Infection related to surgical incision and insertion of hardware 
C) Risk for Disuse Syndrome related to use of traction to stabilize fracture 
D) Acute Pain related to bone and soft tissue damage

Quizplus · Accepted Answer

A) Halo traction uses pins surgically implanted in the skull, which increases the risk for infection. Acute pain is not as high a priority as the risk for meningitis. Risk for Disuse is also an appropriate lower-priority diagnosis. Halo traction is not connected to weights.
B) Halo traction uses pins surgically implanted in the skull, which increases the risk for infection. Acute pain is not as high a priority as the risk for meningitis. Risk for Disuse is also an appropriate lower-priority diagnosis. Halo traction is not connected to weights.
C) Halo traction uses pins surgically implanted in the skull, which increases the risk for infection. Acute pain is not as high a priority as the risk for meningitis. Risk for Disuse is also an appropriate lower-priority diagnosis. Halo traction is not connected to weights.
D) Halo traction uses pins surgically implanted in the skull, which increases the risk for infection. Acute pain is not as high a priority as the risk for meningitis. Risk for Disuse is also an appropriate lower-priority diagnosis. Halo traction is not connected to weights.

A Client Is Admitted to Your Inpatient Rehabilitation Unit