What nursing action will significantly decrease the risk of serious complications for a child in Bryant’s traction?

Neurovascular checks are done frequently.

Bandages are wrapped tightly.

The child is restrained from rolling over.

The child’s buttocks are resting on the bed.

Answer and Explanation

The Correct Answer is A

Choice A reason: Frequent neurovascular checks (pulse, sensation, movement) in Bryant’s traction, used for pediatric femur fractures, detect early signs of compartment syndrome or vascular compromise. This prevents complications like tissue ischemia or nerve damage, critical due to traction’s pressure on soft tissues.
Choice B reason: Tight bandages in Bryant’s traction can cause skin breakdown or impair circulation, increasing the risk of pressure ulcers or compartment syndrome. Bandages should be snug but not constrictive to maintain skin integrity and ensure proper traction function.
Choice C reason: Restraining a child from rolling over may prevent traction disruption but increases the risk of pressure ulcers and discomfort. Controlled movement within traction limits is allowed, and restraint does not directly address neurovascular or circulatory complications.
Choice D reason: The child’s buttocks should be slightly elevated in Bryant’s traction to maintain proper alignment and traction force. Resting on the bed negates the traction’s effect, risking bone misalignment and delayed healing, increasing complication risks.

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Correct Answer is ["A","C","D","E"]

Explanation

Choice A reason: Early ambulation post-hip arthroplasty promotes venous blood flow, reducing stasis, a key factor in Virchow’s triad for thromboembolism. Muscle contractions enhance circulation, preventing clot formation in deep veins, significantly lowering the risk of pulmonary embolism.
Choice B reason: Fluid restriction does not prevent venous thromboembolism and may increase blood viscosity, promoting clot formation. Adequate hydration supports circulation, reducing stasis, making fluid restriction counterproductive for preventing thromboembolism in postoperative clients.
Choice C reason: Quadriceps-setting exercises activate muscle pumps in the legs, promoting venous return and reducing blood stasis. This mechanical action prevents clot formation in deep veins, making it an effective intervention to lower thromboembolism risk post-surgery.
Choice D reason: Compression stockings/devices apply external pressure, enhancing venous return and preventing blood pooling in the legs. This reduces stasis, a major risk factor for deep vein thrombosis, making them a standard preventive measure post-hip arthroplasty.
Choice E reason: Anticoagulants (e.g., heparin) inhibit clot formation by interfering with the coagulation cascade, reducing the risk of thromboembolism. They are critical post-hip arthroplasty, as surgery increases clotting risk due to endothelial damage and immobility.

A. Infants are in a supine or prone position most of the time. B. Sucking on a nipple creates middle ear pressure. C. They have increased susceptibility to upper respiratory tract infections. D. The eustachian tube is short, straight, and wide.

Correct Answer is D

Explanation

Choice A reason: A supine or prone position may allow milk or secretions to pool, but this is not the primary reason for otitis media susceptibility. Positioning contributes indirectly by facilitating fluid reflux, but anatomical factors are more significant in infants.
Choice B reason: Sucking on a nipple does not significantly create middle ear pressure. While bottle-feeding in a supine position may allow fluid reflux into the eustachian tube, this is secondary to the anatomical structure of the tube itself.
Choice C reason: Infants are prone to upper respiratory infections due to immature immunity, which can lead to otitis media. However, this is a contributing factor, not the primary anatomical reason, as infections exploit the eustachian tube’s structure to cause middle ear inflammation.
Choice D reason: Infants’ eustachian tubes are shorter, straighter, and wider than in adults, allowing easier passage of bacteria from the nasopharynx to the middle ear. This anatomical feature impairs drainage and ventilation, increasing susceptibility to fluid accumulation and infection, making it the primary cause.

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What nursing action will significantly decrease the risk of serious complications for a child in Bryant’s traction?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning postoperative care for a client following a total hip arthroplasty. What nursing interventions would help prevent venous thromboembolism for this client? (Select all that apply)

Correct Answer is ["A","C","D","E"]

Explanation

Why are infants more susceptible to otitis media?

Correct Answer is D

Explanation

What nursing action will significantly decrease the risk of serious complications for a child in Bryant’s traction?

A client who had a surgical fractured femur repair reports new-onset shortness of breath and increased respirations. What is the nurse’s first action?

Zyvox 600 mg IV once a day is ordered for a patient. The Zyvox is dissolved in 300 mL of normal saline and should infuse over 1 hour. Using tubing with a drop factor of 10 gtt/mL, how many drops per minute should the Zyvox be infused?

Which finding would the nurse assessing the neurovascular status of a child in Russell traction report immediately?

What intervention is appropriate for a nurse assessing a preadolescent child for scoliosis?

The nurse is teaching a client who is prescribed acetaminophen for control of osteoarthritic joint pain. What statement by the client indicates a need for further teaching?

The nurse explains that Bryant's traction is reserved for children who weigh less than how many pounds?

The nurse assesses a client after a total hip arthroplasty. The client’s surgical leg is visibly shorter than the other one and the client reports extreme pain. While a co-worker calls the surgeon, what action by the nurse is appropriate?