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Which of the following actions should the nurse take when caring for a child in skeletal traction? (Select All that Apply)

Encourage the child to bear weight on the affected limb

Remove the traction periodically to allow the child to take a break

Encourage the child to move the affected limb frequently

Encourage the child to participate in physical activities to promote mobility

Assess the child's neurovascular status regularly

Monitor for signs of infection at the traction site

Administer pain medication as needed

Apply ice packs to the traction site to reduce swelling

Answer and Explanation

Correct Answer : E,F,G

A. Bearing weight on the affected limb is contraindicated in skeletal traction.

B. Traction should not be removed unless directed by the provider, as it could compromise the treatment.

C. Movement of the affected limb is generally restricted to prevent disrupting alignment.

D. Physical activity should be limited to prevent stress on the traction apparatus.

E. Regular neurovascular assessments help identify complications like compartment syndrome.

F. Monitoring for infection is essential due to the invasive nature of skeletal traction.

G. Pain management is important for patient comfort.

H. Ice is generally not applied directly to traction sites; instead, the nurse monitors for complications.

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Correct Answer is A

Explanation

A. Preferring friends over family can be typical of adolescent development and does not necessarily indicate depression. This suggests the parent may need further education about distinguishing normal adolescent behavior from depression.

B. Significant weight changes can indicate depression in adolescents and should be monitored.

C. Increased sleep can be a symptom of depression in adolescents.

D. Poor academic performance is a possible sign of depression, as it may reflect loss of interest or concentration issues.

A. Paralytic ileus B. Fluid imbalance C. Airway obstruction D. Infection

Correct Answer is C

Explanation

A. Paralytic ileus may occur due to shock or stress but is not the immediate priority.

B. Fluid imbalance is critical but is secondary to airway patency in this case.

C. Airway obstruction is the most immediate concern due to the location of the burns, which can cause swelling and compromise breathing.

D. Infection risk is high with burns but is less immediate than airway maintenance.

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Which of the following actions should the nurse take when caring for a child in skeletal traction? (Select All that Apply)

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Naxlex Comprehensive Predictor Exams

The nurse is teaching a group of parents about signs of depression in adolescents. Which statement by a parent indicates the need for further education?

Correct Answer is A

Explanation

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Correct Answer is C

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