A 3-year-old is admitted for repair of a fractured femur and is placed in Bryant's traction. Which finding by the nurse indicates that the traction is working properly?

The buttocks are 15° off the bed.

The child no longer complains of pain.

The pins are secured within the pulley.

The legs are suspended in the traction

Answer and Explanation

The Correct Answer is D

A.   In this type of traction, the child’s buttocks should be elevated slightly off the bed to maintain the correct alignment and reduce pressure on the skin. However, a 15° angle may not be specifically necessary for indicating proper traction; what matters more is that the child is positioned correctly and comfortably.
B.   While a reduction in pain can indicate that the traction is effective and that the fracture is stabilized, pain management is also influenced by medication and other factors. Therefore, while this is a positive finding, it is not the most definitive indicator of proper traction.
C.   However, while it is essential that the pins are secure, the effectiveness of traction is more directly related to the positioning and suspension of the legs rather than just the pin security alone.
D.   In Bryant's traction, the legs should be suspended to ensure proper alignment and immobilization of the fractured femur. The traction's effectiveness is best assessed by observing that the legs are correctly suspended and aligned, allowing for the necessary rest and healing of the bone.

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Correct Answer is C

Explanation

A. Cycloplegic drugs are used to paralyze the ciliary muscle and dilate the pupil, typically in specific situations such as during examinations or for certain conditions, but they do not facilitate the administration of antibiotic drops.
B. While alternating medications is sometimes done, in this case, both medications are to be given every 4 hours, not every 2 hours. Alternating them every 2 hours would not allow for the correct administration schedule and could lead to unnecessary confusion or overdose.
C. When administering multiple eye drops, it is generally recommended to wait about 5 to 10 minutes between the different drops to allow for proper absorption and prevent the first drop from being washed out by the second.
D. While both medications can be prescribed for a patient, they cannot be administered simultaneously. Using both drops at the same time would result in one medication washing out the other, which would reduce their effectiveness. They need to be given sequentially with appropriate timing in between.

A. Scatter rugs are present in the kitchen. B. Uses a microwave for cooking. C. Handrails are present in the bathroom D. Electrical cords are placed along the walls.

Correct Answer is A

Explanation

A. This is a significant safety risk. Scatter rugs can easily be a tripping hazard, especially for individuals with decreased vision. They can slip or shift, leading to falls, which are a major concern for older adults.
B. Using a microwave is often a better option for older adults, as it reduces the need to handle pots and pans on the stovetop, which can be more hazardous for those with vision impairments. It allows for safer meal preparation.

C. Handrails provide support and stability, helping to prevent falls, especially in a room like the bathroom, where wet surfaces can create hazards. This is a positive aspect of the home environment.D
D. While placing electrical cords along the walls can minimize tripping hazards, it can still pose a risk if they are not secured properly or if they cross pathways in a way that is not visible to someone with decreased vision. However, this is generally less of a risk compared to scatter rugs.

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A 3-year-old is admitted for repair of a fractured femur and is placed in Bryant's traction. Which finding by the nurse indicates that the traction is working properly?

Nursing Test Bank

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