A nurse is caring for a child who has a fractured femur and is in traction. Which of the following actions should the nurse take to prevent equipment-related injuries in this child?
Check the alignment and position of the traction and weights regularly.
Inspect the skin under the traction device for signs of pressure or irritation.
Assess the neurovascular status of the affected extremity frequently.
All of the above.
The Correct Answer is D
Choice A reason: This action should be taken by the nurse to prevent equipment-related injuries, as it helps ensure that the traction is effective and does not cause any complications such as nerve damage, muscle spasms, or skin breakdown.
Choice B reason: This action should be taken by the nurse to prevent equipment-related injuries, as it helps prevent pressure ulcers, infection, or inflammation of the skin under the traction device.
Choice C reason: This action should be taken by the nurse to prevent equipment-related injuries, as it helps assess the blood flow, sensation, and movement of the affected extremity and detect any signs of impaired circulation, nerve compression, or compartment syndrome.
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Correct Answer is D
Explanation
Choice A reason: This action should be taken by the nurse to prevent equipment-related injuries, as it helps ensure that the traction is effective and does not cause any complications such as nerve damage, muscle spasms, or skin breakdown.
Choice B reason: This action should be taken by the nurse to prevent equipment-related injuries, as it helps prevent pressure ulcers, infection, or inflammation of the skin under the traction device.
Choice C reason: This action should be taken by the nurse to prevent equipment-related injuries, as it helps assess the blood flow, sensation, and movement of the affected extremity and detect any signs of impaired circulation, nerve compression, or compartment syndrome.
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Correct Answer is ["A","B","C","D"]
Explanation
Choice A reason: This action should be taken by the nurse to prevent medication errors, as it helps ensure that the medication is correct in terms of name, dose, route, time, and patient.
Choice B reason: This action should be taken by the nurse to prevent medication errors, as it helps ensure that the medication is measured and administered accurately and safely. Oral syringes or droppers are more precise and easier to use than cups or spoons for liquid medication.
Choice C reason: This action should be taken by the nurse to prevent medication errors, as it helps ensure that the medication dosage and calculation are correct and appropriate for the patient's weight and age. Another nurse can act as a double-check and catch any potential errors or discrepancies.
Choice D reason: This action should be taken by the nurse to prevent medication errors, as it helps ensure that the medication is given to the right patient. Comparing the infant's identification band with the MAR and asking the parent to confirm the infant's name are two ways of verifying the patient's identity.
Choice E reason: This action should not be taken by the nurse to prevent medication errors, as it may alter the effectiveness, absorption, or taste of the medication. Crushing or dissolving tablets or capsules and mixing them with formula or juice may also cause choking or aspiration in infants. The nurse should only administer medications that are in liquid form or prescribed to be crushed or dissolved.
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