What intervention will the nurse caring for a child in Buck skin traction implement?
Assist the child to be pulled up in bed
Maintain child's feet against the foot of the bed
Keep child's heel on footboard
Position in high Fowler's position
The Correct Answer is B
A. Assisting the child to be pulled up in bed is contraindicated because it can disrupt traction alignment.
B. Keeping the child’s feet firmly against the foot of the bed helps maintain proper traction and alignment of the limb.
C. The heel should be elevated off the footboard to prevent pressure ulcers.
D. High Fowler’s position is not recommended as it may increase pressure on the traction and cause discomfort.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Ketorolac is a nonsteroidal anti-inflammatory drug (NSAID) that can be nephrotoxic, especially with prolonged use. Assessing renal function (e.g., BUN, creatinine) is essential before administration.
B. Oxygen saturation is important but is not a primary concern specific to ketorolac.
C. Appetite assessment is not directly related to the safety or effectiveness of ketorolac.
D. While liver function may be considered with many medications, ketorolac's primary risk involves the kidneys rather than the liver.
Correct Answer is B
Explanation
A. Clients with Parkinson's disease often have difficulty swallowing, so small, frequent mealsare safer and more manageable than three large meals.
B. A cane or other assistive devicescan help promote mobility and prevent falls, which are common due to shuffling gait and poor balance.
C. Parkinson's disease may impair speech or make the voice softer, but hearing is not typically affected, so speaking loudly is not necessary unless the client has a hearing deficit.
D. Physical activity should not be limited; in fact, encouraging regular activityhelps maintain mobility and flexibility.
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