Nokea
The nurse explains that Bryant's traction is reserved for children who weigh less than __ pounds.
Correct Answer: 30
Rationale: Bryant's traction is used for children weighing less than 30 pounds to ensure safe and effective application.
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What type of fracture would be the most likely to alert the nurse to the possibility of physical abuse?
- A. Stress fracture
- B. Compound fracture
- C. Spiral fracture
- D. Greenstick fracture
Correct Answer: C
Rationale: Spiral fractures, caused by twisting motions, may suggest abuse if the injury history does not match the findings.
What instruction would the nurse provide to an adolescent who has been fitted with a Milwaukee brace?
- A. Wear the brace directly against the skin.
- B. Wear the brace over regular clothing.
- C. Wear the brace over a T-shirt 23 hours a day.
- D. Remove the brace before sleeping.
Correct Answer: C
Rationale: Wearing the Milwaukee brace over a T-shirt for 23 hours daily protects the skin while correcting scoliosis.
What nursing action will significantly decrease the risk of serious complications for a child in Bryant's traction?
- A. Neurovascular checks are done frequently.
- B. Bandages are wrapped tightly.
- C. The child is restrained from rolling over.
- D. The child's buttocks are resting on the bed.
Correct Answer: A
Rationale: Frequent neurovascular checks help detect Volkmann's ischemia, reducing the risk of circulatory complications.
What will the nurse respond causes the pain experienced with osteomyelitis?
- A. Pressure of inelastic bone'
- B. Purulent drainage in the bone marrow'
- C. The cast applied on the extremity'
- D. Circulatory congestion of the skin'
Correct Answer: B
Rationale: Purulent drainage in the bone marrow causes inflammation, vessel compression, and ischemia, leading to pain in osteomyelitis.
Which observation requires a nursing intervention?
- A. Child's heels are placed firmly against the foot of the bed.
- B. Head of bed is elevated 20 degrees.
- C. Weights are hanging freely.
- D. Ropes are on pulleys.
Correct Answer: A
Rationale: Heels against the bed disrupt Buck traction's counterweight mechanism, requiring intervention to elevate them.