The nurse is caring for a 7-year-old after insertion of skeletal traction. Which of the following is contraindicated?
Gently massaging over pressure areas to stimulate circulation.
Releasing the traction when repositioning the child in bed.
Inspecting pin sites for bleeding or infection.
Assessing for alterations in neurovascular status.
The Correct Answer is B
Rationale:
A. Gentle massage over pressure areas can promote circulation and prevent skin breakdown, as long as it does not disturb the alignment.
B. Releasing traction is contraindicated unless specifically ordered by the healthcare provider. Traction must be maintained at all times to ensure proper bone alignment and healing.
C. Regular inspection of pin sites is essential for early detection of infection or complications.
D. Frequent neurovascular assessments are necessary to monitor for complications such as impaired circulation or nerve damage.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","E"]
Explanation
Rationale:
A. Clubfoot is a musculoskeletal deformity unrelated to thyroid function.
B. Cleft palate is a congenital craniofacial defect not commonly associated with hypothyroidism.
C. A protruding tongue is a classic sign of congenital hypothyroidism due to generalized hypotonia and swelling.
D. Imperforate anus is a gastrointestinal malformation not linked to thyroid disorders.
E. A short, thick neck is commonly seen in infants with congenital hypothyroidism and contributes to their distinctive appearance.
Correct Answer is B
Explanation
Rationale:
A. Gentle massage over pressure areas can promote circulation and prevent skin breakdown, as long as it does not disturb the alignment.
B. Releasing traction is contraindicated unless specifically ordered by the healthcare provider. Traction must be maintained at all times to ensure proper bone alignment and healing.
C. Regular inspection of pin sites is essential for early detection of infection or complications.
D. Frequent neurovascular assessments are necessary to monitor for complications such as impaired circulation or nerve damage.
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