When administering zidovudine to a patient with human immunodeficiency virus (HIV), which action should be the first priority for the nurse?

Choice A rationale:

Elevating the patient's buttocks off the bed is appropriate in Bryant's traction, ensuring effective countertraction and alignment of the fractured bone. This position doesn't compromise traction function.

Choice B rationale:

Proper weight suspension, free of interference, prevents inadequate traction. This maintains the pulling force needed for fracture reduction and immobilization. No compromise is indicated here.

Choice C rationale:

Flexing the patient's hips at a 90-degree angle promotes proper body alignment. Although this angle might vary depending on the specific type of traction, it's not an immediate indication of traction compromise.

Choice D rationale:

Placing a knot in the rope against a pulley impedes the smooth functioning of the traction system. This could lead to a decrease in the applied traction force, potentially compromising fracture alignment and healing.

Choice A rationale:

Monitoring the cast daily for foul odors is a proper action to identify potential infection.

Choice B rationale:

Bringing the child for frequent checkups to the clinic is important to ensure the cast is healing properly.

Choice C rationale:

Using the cast stabilizing bar to turn the child can be concerning. There's no mention of a cast stabilizing bar, so this statement suggests a lack of understanding or misinformation.

Choice D rationale:

Massaging the skin around the edges of the child's cast can help prevent skin irritation, so it's an appropriate action.