A pediatric nurse is assisting with the care of a child diagnosed with a fractured femur. What type of fracture would be the most likely to alert the nurse to the possibility of physical abuse?

Stress fracture.

Compound fracture.

Spiral fracture.

Greenstick fracture.

Answer and Explanation

The Correct Answer is C

Choice A reason: Stress fractures result from repetitive microtrauma, common in athletes, not typically associated with abuse. In children, they occur from overuse (e.g., sports), not acute trauma, making them less suspicious for non-accidental injury compared to other fracture types.
Choice B reason: Compound fractures, where bone pierces the skin, result from high-impact trauma (e.g., falls). While possible in abuse, they are less specific, as they occur in accidents, making them less indicative of non-accidental injury than spiral fractures.
Choice C reason: Spiral fractures occur from twisting forces, often seen in abuse when a limb is forcefully twisted (e.g., by an adult). In children, whose bones are flexible, spiral fractures suggest significant force, raising suspicion of non-accidental trauma.
Choice D reason: Greenstick fractures, where the bone bends and partially breaks, are common in children due to pliable bones. They occur in accidents or minor trauma, making them less specific to abuse compared to spiral fractures’ association with twisting mechanisms.

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Correct Answer is A

Explanation

Choice A reason: Frequent neurovascular checks (pulse, sensation, movement) in Bryant’s traction, used for pediatric femur fractures, detect early signs of compartment syndrome or vascular compromise. This prevents complications like tissue ischemia or nerve damage, critical due to traction’s pressure on soft tissues.
Choice B reason: Tight bandages in Bryant’s traction can cause skin breakdown or impair circulation, increasing the risk of pressure ulcers or compartment syndrome. Bandages should be snug but not constrictive to maintain skin integrity and ensure proper traction function.
Choice C reason: Restraining a child from rolling over may prevent traction disruption but increases the risk of pressure ulcers and discomfort. Controlled movement within traction limits is allowed, and restraint does not directly address neurovascular or circulatory complications.
Choice D reason: The child’s buttocks should be slightly elevated in Bryant’s traction to maintain proper alignment and traction force. Resting on the bed negates the traction’s effect, risking bone misalignment and delayed healing, increasing complication risks.

Correct Answer is ["50"]

Explanation

Step 1 is: Volume to be infused 300 mL

Step 2 is: Drop factor is 10 gtt/mL 300 × 10 = 3000 drops

Step 3 is: (3000 ÷ 60) = 50 Result = 50 drops per minute

Final answer = 50 drops/minute

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A pediatric nurse is assisting with the care of a child diagnosed with a fractured femur. What type of fracture would be the most likely to alert the nurse to the possibility of physical abuse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What nursing action will significantly decrease the risk of serious complications for a child in Bryant’s traction?

Correct Answer is A

Explanation

Zyvox 600 mg IV once a day is ordered for a patient. The Zyvox is dissolved in 300 mL of normal saline and should infuse over 1 hour. Using tubing with a drop factor of 10 gtt/mL, how many drops per minute should the Zyvox be infused?

Correct Answer is ["50"]

Explanation

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