Nokea
The nurse demonstrates which similarities among all traction devices?
- A. Pull the limb into extension.
- B. Decrease muscle spasm.
- C. Reduce pain.
- D. Align two bone fragments.
- E. Immobilize the limb.
Correct Answer: A,B,D,E
Rationale: Traction devices pull limbs into extension, decrease muscle spasm, align bone fragments, and immobilize limbs; pain relief varies.
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Which nursing diagnosis takes highest priority for this child?
- A. Pain resulting from tissue trauma
- B. High risk for impaired skin integrity resulting from immobility
- C. Altered growth and development related to separation from family
- D. Altered urinary elimination related to immobility and traction
Correct Answer: A
Rationale: Pain from tissue trauma and muscle spasm is the highest priority due to its immediate impact on the child's comfort.
What intervention will the nurse caring for a child in Buck skin traction implement?
- A. Position in high Fowler's position.
- B. Assist the child to be pulled up in bed.
- C. Keep child's heel on the bed surface.
- D. Maintain child's feet against the foot of the bed.
Correct Answer: B
Rationale: Assisting the child to be pulled up in bed maintains proper alignment in Buck traction, using the child's weight as counterbalance.
How does the pediatric skeletal system differ from that of the adult?
- A. Lower mineral content
- B. More ossification
- C. Open epiphyses
- D. Less porosity
- E. Greater strength
Correct Answer: A,C,E
Rationale: The pediatric skeletal system has lower mineral content, open epiphyses, and greater strength, with greater porosity, not less.
What do these finding indicate?
- A. Sexual abuse
- B. Physical abuse
- C. Physical neglect
- D. Emotional abuse
Correct Answer: C
Rationale: Disheveled appearance, being unbathed, and hungry suggest physical neglect, failing to meet the child's basic needs.
What does the nurse explain as the cause of this spinal curvature defect?
- A. Juvenile rheumatoid arthritis
- B. Poor posture
- C. Heredity
- D. Myelomeningocele
Correct Answer: B
Rationale: Functional scoliosis is typically caused by poor posture and is not a structural spinal disease.