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.
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Related Questions
Correct Answer is C
Explanation
A. Explaining the situation to the family is important, but it is not a prioritywhen the patient is in respiratory distress.
B. Establishing an IV line may be necessary later for treatment, but it does not immediately address the low oxygen saturationor respiratory compromise.
C. Raising the patient to a High Fowler’s positionhelps to maximize lung expansionand improve oxygenation, making it the first and most immediate action.
D. Notifying the charge nurse is appropriate afterthe nurse takes action to stabilize the patient’s airway and breathing.
Correct Answer is C
Explanation
A. This is incorrect and dangerous—aspirinis strongly associated with Reye's syndromewhen given to children with viral infections (e.g., flu, chickenpox).
B. While testing may be appropriate if symptoms arise, this does not preventthe syndrome.
C. The most important preventive teaching is to avoid giving salicylates (like aspirin)to children with viral symptoms, as this is a known risk factor for Reye's syndrome, a potentially fatal condition.
D. There is no vaccinespecifically for Reye’s syndrome, so immunization is not a method of prevention.
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