A nurse is caring for a toddler who has a fractured right femur and is in Bryant traction. When determining that the traction is appropriately assembled, the nurse should observe which of the following?
Weights are attached to a pin that is inserted into the femur.
Skin straps maintain the leg in an extended position.
A padded sling is under the knee of the affected leg.
The buttocks is elevated slightly off of the bed.
The Correct Answer is D
Choice A reason: This is not a correct description of Bryant traction. This type of traction does not involve pins or wires inserted into the bone. It is a skin traction that uses adhesive straps or bandages attached to the skin of the lower legs.
Choice B reason: This is not a correct description of Bryant traction. This type of traction does not maintain the leg in an extended position. It flexes the hip and knee at a 90-degree angle and suspends the leg in the air.
Choice C reason: This is not a correct description of Bryant traction. This type of traction does not use a sling under the knee of the affected leg. It uses a spreader bar to keep the legs apart and prevent rotation.
Choice D reason: This is a correct description of Bryant traction. This type of traction elevates the buttocks slightly off of the bed to provide countertraction and alignment of the fractured bone.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Watching a video game in the playroom is not a good activity for a child who requires airborne precautions, as it may expose the child and other children to the risk of infection. Airborne precautions are used for patients who have diseases that are transmitted by small droplets that can remain suspended in the air and travel over long distances, such as tuberculosis, chickenpox, or measles. The child should stay in a private room with negative air pressure, high-efficiency particulate air (HEPA) filtration, and respiratory protection for health care workers and visitors.
Choice B reason: Putting a large-piece puzzle together is a good activity for a child who requires airborne precautions, as it can be done in the child's room and does not involve close contact with others. It is also developmentally appropriate for a 4-year-old child, as it helps to develop fine motor skills, cognitive skills, and problem-solving skills. The nurse should provide the child with a variety of puzzles that are colorful, fun, and challenging, but not frustrating.
Choice C reason: Constructing a model airplane is not a good activity for a child who requires airborne precautions, as it may involve small pieces that can be easily lost, swallowed, or inhaled. It may also be too difficult or complex for a 4-year-old child, who may not have the attention span, dexterity, or patience to complete the task. The nurse should choose activities that are safe, simple, and suitable for the child's age and abilities.
Choice D reason: Pulling a wagon with toys in the hallway is not a good activity for a child who requires airborne precautions, as it may expose the child and other people to the risk of infection. The child should not leave the room unless it is necessary for diagnostic or therapeutic procedures. If the child has to leave the room, the nurse should ensure that the child wears a mask and follows the infection control guidelines. The nurse should also minimize the movement and transport of the child.
Correct Answer is B
Explanation
Choice A reason: Haemophilus influenzae type b (Hib) vaccine is not the correct choice, as it is usually given to children at 2, 4, 6, and 12 to 15 months of age. A 4-year-old child should have already completed the Hib vaccine series.
Choice B reason: Varicella (VAR) vaccine is the correct choice, as it is recommended for children at 12 to 15 months and 4 to 6 years of age. A 4-year-old child is due for the second dose of the VAR vaccine.
Choice C reason: Hepatitis B (HepB) vaccine is not the correct choice, as it is usually given to children at birth, 1 to 2 months, and 6 to 18 months of age. A 4-year-old child should have already completed the HepB vaccine series.
Choice D reason: Meningococcal (MCV4) vaccine is not the correct choice, as it is not routinely recommended for children younger than 11 years of age. MCV4 vaccine is given to children at 11 to 12 years and 16 years of age, or to children with certain high-risk conditions.
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