Nokea
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.
You may also like to solve these questions
Which assessment performed by a nursing student performing a neurovascular check alerts the instructor that further education is necessary?
- A. Pulses
- B. Capillary refill
- C. Movement
- D. Pupils
Correct Answer: D
Rationale: Pupil assessment is part of a neurological check, not a neurovascular check, which includes pulses, capillary refill, and movement.
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.
Which intervention would be helpful in relieving morning discomfort associated with juvenile rheumatoid arthritis?
- A. Wearing splints at night to prevent extension contractures
- B. Applying moist heat packs upon awakening
- C. Taking a warm tub bath the evening before
- D. Sleeping with two pillows under the head
Correct Answer: B
Rationale: Moist heat packs upon awakening reduce morning stiffness associated with juvenile rheumatoid arthritis.
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 would the nurse include in planning teaching to parents of a child with Legg-Calv?©-Perthes disease about the long-term effects of this disease?
- A. There are no long-term effects.
- B. The disease is self-limited and requires no long-term treatment.
- C. Degenerative arthritis may develop later in life.
- D. There is risk of osteogenic sarcoma in adulthood.
Correct Answer: C
Rationale: Marked distortion of the femoral head in Legg-Calv?©-Perthes disease may lead to degenerative arthritis in adulthood.