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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Free Nursing Study Resources

Correct Answer is ["15"]

Explanation

Step 1 is: Find out how many times 50 mg fits into 150 mg 150 ÷ 50 = 3

Step 2 is: Multiply the volume per dose 3 × 5 = 15

Final answer = 15 mL

A. I won’t take more than 5000 mg of this drug each day. B. I’ll follow up to get my lab tests done to check my liver. C. I’ll check drugs that I take for acetaminophen in them. D. I can use topical patches and creams to help relieve pain.

Correct Answer is A

Explanation

Choice A reason: The maximum daily dose of acetaminophen for adults is typically 4000 mg to avoid hepatotoxicity. A statement indicating 5000 mg suggests a misunderstanding, as exceeding 4000 mg increases the risk of liver damage due to the accumulation of toxic metabolites like N-acetyl-p-benzoquinone imine, which depletes glutathione.
Choice B reason: Regular liver function tests are recommended for clients on long-term acetaminophen to monitor for hepatotoxicity, as the drug is metabolized by the liver. This statement shows correct understanding, as it acknowledges the need to assess liver enzymes like ALT and AST for potential damage.
Choice C reason: Checking other medications for acetaminophen content is crucial to prevent unintentional overdose, which can lead to acute liver failure. This statement reflects proper understanding, as combination drugs (e.g., cold remedies) often contain acetaminophen, contributing to cumulative toxicity if not monitored.
Choice D reason: Using topical patches or creams for osteoarthritis pain is a valid adjunctive therapy. These deliver localized relief (e.g., NSAIDs or capsaicin) without systemic effects, complementing acetaminophen’s action. This statement indicates correct understanding of multimodal pain management strategies.

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

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Naxlex Comprehensive Predictor Exams

The nurse is preparing to administer amantadine 150 mg PO every 12 hours. The available medication is amantadine 50 mg/5 mL syrup. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["15"]

Explanation

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?

Correct Answer is A

Explanation

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