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 B
Explanation
A. A fracture that has not broken through the skin is called a closed or simple fracture, not a greenstick fracture.
B. A greenstick fracture occurs when the bone bends and cracks but does not break completely, commonly seen in children due to their softer bones.
C. A bone broken into two distinct pieces is a complete fracture.
D. Bone shattered into more than two pieces is called a comminuted fracture.
Correct Answer is A
Explanation
A. The nurse should assess for alteration in peripheral circulation, such as changes in color, temperature, pulse, or sensation in the lower extremities. The abductor wedgekeeps the legs abducted to prevent dislocation of the hip, but if applied improperly, it may impair circulation or cause nerve compression.
B. Muscle spasms can occur after surgery but are not directly related to the use of an abduction wedge.
C. Compression fractures are not a typical concern in the immediate care of a patient with an abduction wedge after hip replacement.
D. While correct wedge size is important, the priorityis to monitor for complications such as compromised circulation.
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