A 6-year-old with a fractured femur is in Russell’s traction. Surgical intervention to correct the fracture is scheduled for the morning. Nursing actions should include which action?
Releasing traction every hour to perform skin care.
Releasing traction once every 8 hours to check circulation.
Maintaining continuous traction until 1 hour before the scheduled surgery.
Maintaining continuous traction and checking the position of traction.
The Correct Answer is D
Choice A reason:
Releasing traction every hour to perform skin care: Releasing traction every hour is not recommended as it can disrupt the alignment and healing process of the fractured femur. Skin care is important, but it should be performed without compromising the traction setup.
Choice B Reason:
Releasing traction once every 8 hours to check circulation: While checking circulation is crucial, releasing traction every 8 hours is not necessary and can interfere with the therapeutic benefits of traction. Circulation can be monitored without releasing the traction.
Choice C Reason:
Maintaining continuous traction until 1 hour before the scheduled surgery: Continuous traction is essential to maintain the alignment of the fractured femur. However, there is no need to release traction 1 hour before surgery unless specifically instructed by the surgical team.
Choice D Reason:
Maintaining continuous traction and checking the position of traction: This is the most appropriate action. Continuous traction ensures proper alignment and healing of the fractured femur. Regularly checking the position of traction helps prevent complications and ensures the effectiveness of the treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason:
A 7-year-old child with diabetes insipidus and a urine specific gravity of 1.016 is not in immediate danger. Diabetes insipidus is a condition characterized by excessive thirst and excretion of large amounts of severely diluted urine. A urine specific gravity of 1.016 is within the normal range (1.005 to 1.030). Therefore, this child does not require immediate assessment.
Choice B reason:
A 4-year-old child with asthma and a PCO2 of 37 mm Hg is also not in immediate danger. Asthma is a chronic condition that can cause difficulty breathing, but a PCO2 level of 37 mm Hg is within the normal range (35-45 mm Hg). This indicates that the child’s respiratory status is currently stable, and immediate assessment is not required.
Choice C reason:
A 1-year-old toddler with roseola and a temperature of 39°C (102.2°F) is experiencing a common viral infection that typically causes a high fever followed by a rash. While the fever is high, it is not uncommon for roseola and can be managed with antipyretics and supportive care. This child does not require immediate assessment.
Choice D reason:
A 10-year-old child with sickle cell anemia reporting 8 out of 10 chest pain is in immediate danger and requires urgent assessment. Chest pain in a child with sickle cell anemia can indicate acute chest syndrome, a severe and potentially life-threatening complication. Acute chest syndrome is characterized by chest pain, fever, and respiratory distress, and it requires prompt medical intervention. Therefore, this child should be assessed first.
Correct Answer is A
Explanation
Choice A reason:
Wearing cotton underpants is recommended to prevent urinary tract infections (UTIs) in young girls. Cotton is a breathable fabric that allows air to circulate, reducing moisture and creating an environment less conducive to bacterial growth. This helps to keep the genital area dry and clean, which is important in preventing UTIs.
Choice B reason:
Limiting trips to the bathroom is not recommended for preventing UTIs. In fact, it is important for young girls to urinate frequently to flush out bacteria from the urinary tract. Holding urine for extended periods can increase the risk of bacterial growth and infection. Therefore, encouraging regular bathroom trips is a better practice for preventing UTIs.
Choice C reason:
Decreasing salt intake is not directly related to preventing UTIs. While a healthy diet is important for overall health, there is no specific evidence linking salt intake to the prevention of urinary tract infections. The focus should be on practices that directly reduce the risk of bacterial growth and infection in the urinary tract.
Choice D reason:
Soaking in a bathtub, especially with bubble baths or perfumed soaps, can increase the risk of UTIs. These substances can irritate the urethra and create an environment conducive to bacterial growth. It is better to avoid prolonged baths with such products and instead opt for quick showers to maintain hygiene without increasing the risk of infection.
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