What finding would the nurse assessing the neurovascular status of a child in Russell traction report immediately?
Capillary refill less than 3 seconds
Ability to wiggle toes
Skin that's warm to the touch
Bluish coloration of skin
The Correct Answer is D
A. Capillary refill less than 3 seconds is normal and indicates good perfusion.
B. Ability to wiggle toes indicates intact motor function.
C. Skin that is warm to the touch suggests adequate circulation.
D. Bluish coloration (cyanosis) indicates poor oxygenation and compromised circulation, requiring immediate intervention.
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Related Questions
Correct Answer is A
Explanation
A. Russell tractionprovides adequate skin tractionby supplying a continuous pull in two directions—upward at the knee and longitudinal along the leg. This helps to reduce fractures and maintain alignment, especially in femoral fractures.
B. Subluxationof the tibia (partial dislocation) is not a goalof traction and would be undesirable.
C. Russell traction allows some knee flexionand does not completely prevent it; in fact, it’s designed to maintain the knee in a slightly flexed position.
D. While it may allow for some degree of movement, the primary purposeis traction, not preserving range of motion.
Correct Answer is A
Explanation
A. A lumbar punctureis the most important diagnostic test for suspected bacterial meningitis. It allows for analysis and culture of cerebrospinal fluid (CSF)to identify the presence of bacteria, white blood cells, protein, and glucose levels.
B. Cerebral angiography is used to visualize blood vessels in the brain, not to diagnose infections like meningitis.
C. Myelography evaluates the spinal cord, nerve roots, and spinal canal using contrast dye but is not used for diagnosing meningitis.
D. Magnetoencephalography (MEG) is used to map brain activity, often for epilepsy or brain tumors, and is not relevant for diagnosing meningitis.
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