A nurse is caring for an adolescent who has a lower extremity fracture. Which of the following types of skin traction should the nurse expect the provider to prescribe?

Bryant

Cervical skin

Dunlop

Buck extension

Answer and Explanation

The Correct Answer is D

Choice A reason:

Bryant traction is used in infants with congenital hip dysplasia. It is not a form of skin traction for lower extremity fractures in adolescents.

Choice B reason:

Cervical skin traction is used for cervical spine injuries or surgeries, not for lower extremity fractures.

Choice C reason:

Dunlop traction is used for fractures of the humerus.

Choice D reason:

Buck extension traction is applied to the lower leg and uses a boot on the affected leg with weights to provide traction. It is commonly used for lower extremity fractures in adolescents.

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Correct Answer is A

Explanation

Choice A reason:

Providing pain medication on a schedule is important for managing pain and ensuring the child's comfort, especially after a surgery involving peritonitis.

Choice B reason:

Contact isolation is not typically indicated for a child postoperative for appendicitis unless there is a specific infectious concern. It is not a routine intervention.

Choice C reason:

Offering clear liquids may be appropriate depending on the child's individual recovery and surgeon's orders. However, this should be determined on an individual basis and is not a standard postoperative intervention.

Choice D reason:

Maintaining strict bed rest may not be necessary for all children postoperative for appendicitis. Early mobilization and ambulation are often encouraged to promote recovery.

A. Use a bleach-based solution to clean the bedside table. B. Encourage family members to use hand sanitizer when exiting the room. C. Place the toddler in a negative-airflow room. D. Administer loperamide 1 mg PO.

Correct Answer is A

Explanation

Choice A reason:

Using a bleach-based solution to clean the bedside table is an appropriate measure to prevent the spread of Clostridium difficile bacteria, as bleach is effective in killing spores.

Choice B reason:

While hand sanitizer is useful for killing many types of bacteria and viruses, it may not be as effective against Clostridium difficile spores. Washing hands with soap and water is preferred.

Choice C reason:

Placing the toddler in a negative-airflow room is not necessary for managing Clostridium difficile diarrhea. Standard precautions and proper hygiene are sufficient.

Choice D reason:

Loperamide is not typically recommended for managing Clostridium difficile diarrhea, as it may worsen the condition by slowing down the bowel motility. The primary treatment is discontinuing the antibiotic that caused the infection and, in some cases, using specific antibiotics to target the C. difficile bacteria.

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A nurse is caring for an adolescent who has a lower extremity fracture. Which of the following types of skin traction should the nurse expect the provider to prescribe?

Nursing Test Bank

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