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 B
Explanation
The correct answer is b. 25%.
Choice A: 50%
If both parents are heterozygous for the sickle cell trait (carriers), each child has a 50% chance of inheriting one sickle cell gene from one parent and a normal gene from the other parent. This would make the child a carrier of the sickle cell trait, not someone with sickle cell anemia. Therefore, the chance of having sickle cell anemia is not 50%.
Choice B: 25%
When both parents are carriers of the sickle cell trait (heterozygous), there is a 25% chance that their child will inherit two sickle cell genes (one from each parent), resulting in sickle cell anemia. This is because each parent has one normal hemoglobin gene (A) and one sickle cell gene (S). The possible combinations for their children are AA (normal), AS (carrier), SA (carrier), and SS (sickle cell anemia). The probability of the SS combination is 25%.
Choice C: 75%
A 75% chance is not accurate in this scenario. The 75% figure might be mistakenly considered if one were to add the probabilities of being a carrier (50%) and having sickle cell anemia (25%). However, these probabilities are distinct and should not be combined in this manner.
Choice D: 100%
A 100% chance would imply that every child of the couple would have sickle cell anemia, which is not the case. Since each parent is a carrier, there is only a 25% chance for each child to have sickle cell anemia. The remaining 75% of the time, the child will either be a carrier or have normal hemoglobin.
Correct Answer is ["A","B","D","E"]
Explanation
Choice A reason:
Jaundice can be an assessment finding in infants with a urinary tract infection (UTI). UTIs can cause systemic symptoms in infants, including jaundice, especially in newborns. This is due to the immature liver function and the body’s response to infection1. Jaundice in the context of a UTI requires prompt medical evaluation and treatment to prevent complications.
Choice B reason:
Failure to gain weight is another possible assessment finding in infants with a UTI. Infants with UTIs may experience poor feeding, irritability, and lethargy, which can contribute to inadequate weight gain2. Monitoring an infant’s growth and development is crucial, and any signs of failure to thrive should prompt further investigation for underlying conditions such as UTIs.
Choice C reason:
Swelling of the face is not typically associated with UTIs in infants. While facial swelling can be a sign of other medical conditions, it is not a common symptom of UTIs. UTIs primarily affect the urinary system and may cause symptoms such as fever, irritability, and poor feeding.
Choice D reason:
Persistent diaper rash can be an assessment finding in infants with a UTI. The presence of a UTI can lead to increased urine output and changes in urine composition, which can irritate the skin and contribute to diaper rash. Persistent or recurrent diaper rash in conjunction with other symptoms may warrant further evaluation for a UTI.
Choice E reason:
Vomiting is a common symptom in infants with UTIs. The infection can cause gastrointestinal symptoms such as vomiting, diarrhea, and poor feeding. These symptoms, along with fever and irritability, are often seen in infants with UTIs and should prompt medical evaluation.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today