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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)

A.

Encourage the child to bear weight on the affected limb

B.

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

C.

Encourage the child to move the affected limb frequently

D.

Encourage the child to participate in physical activities to promote mobility

E.

Assess the child's neurovascular status regularly

F.

Monitor for signs of infection at the traction site

G.

Administer pain medication as needed

H.

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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Related Questions

Correct Answer is A

Explanation

A. A low blood pressure (89/50 mm Hg) may indicate hypovolemic shock, which is a medical emergency and the priority.

B. Abdominal pain rated 4/10 is concerning but not as critical as potential shock.

C. A heart rate of 72/min is within normal limits and not immediately concerning.

D. A respiratory rate of 20/min is normal and does not indicate an urgent issue.

Correct Answer is ["E","F","G"]

Explanation

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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