A patient with a fractured right femur is placed in Bryant's traction. Which observation would indicate that the function of the traction is compromised?

The patient's buttocks are slightly elevated off the bed.

The weights are suspended above the bed and free of interference from the bed frame.

The patient's hips are flexed at a 90-degree angle to the bed.

A knot in the rope of the traction is resting against a pulley.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Elevating the patient's buttocks off the bed is appropriate in Bryant's traction, ensuring effective countertraction and alignment of the fractured bone. This position doesn't compromise traction function.

Choice B rationale:

Proper weight suspension, free of interference, prevents inadequate traction. This maintains the pulling force needed for fracture reduction and immobilization. No compromise is indicated here.

Choice C rationale:

Flexing the patient's hips at a 90-degree angle promotes proper body alignment. Although this angle might vary depending on the specific type of traction, it's not an immediate indication of traction compromise.

Choice D rationale:

Placing a knot in the rope against a pulley impedes the smooth functioning of the traction system. This could lead to a decrease in the applied traction force, potentially compromising fracture alignment and healing.

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Correct Answer is D

Explanation

Choice A rationale:

Assessing the infant's ability to roll over is unrelated to the situation. The nurse's focus should be on safely retrieving the nasogastric tube without leaving the infant alone.

Choice B rationale:

Using a nesting pillow is not appropriate in this scenario. The nurse should prioritize getting the nasogastric tube rather than introducing unnecessary items into the crib.

Choice C rationale:

Putting the side rail all the way up might hinder the nurse's ability to access the counter and the nasogastric tube. It is not the most effective action in this situation.

Choice D rationale:

Calling for assistance ensures that the infant's safety is maintained while the nurse retrieves the nasogastric tube. Leaving the infant unattended increases the risk of harm, so involving someone else is the appropriate action.

A. "I'll add the medication to two ounces of diluted orange juice.". B. "I'll be sure that my child has had something to eat or drink during the hour before I give the medication.". C. "As long as my child's pulse is over forty, I'll give the medication.". D. "I'll give the medication from the calibrated dropper I use to measure the medication.".

Correct Answer is B

Explanation

Choice A rationale:

Adding medication to orange juice is not recommended for digoxin administration. This can affect the drug's absorption and potency due to interactions with food components.

Choice B rationale:

Ensuring the child has had food or drink before giving the medication is crucial for digoxin administration. Food in the stomach can help mitigate gastrointestinal irritation and enhance drug absorption.

Choice C rationale:

A pulse over forty is too low for digoxin administration. The typical guideline is usually a pulse rate over 60 in pediatric patients before administering digoxin.

Choice D rationale:

Using a calibrated dropper for medication administration is not the standard method for digoxin. Precision in dosing is essential for this drug, and using a calibrated oral syringe or dropper is recommended to accurately measure the dose.

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A patient with a fractured right femur is placed in Bryant's traction. Which observation would indicate that the function of the traction is compromised?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a 2-month-old infant in a crib and needs the nasogastric tube on the counter near the sink. The nurse would now:.

Correct Answer is D

Explanation

The nurse is preparing a patient for discharge and teaching the parents about the home use of digoxin. Which statement by the mother would indicate a good understanding of the instructions?

Correct Answer is B

Explanation

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