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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.
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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.
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 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.
How does Russell traction provide adequate skin traction?
- A. Subluxates the tibia.
- B. Does not interfere with range of motion.
- C. Prevents the knee from flexing.
- D. Supplies continuous pull in two directions.
Correct Answer: D
Rationale: Russell traction uses a sling under the knee to provide continuous pull in two directions, maintaining alignment without subluxating the tibia.
What intervention is appropriate for a nurse assessing a preadolescent child for scoliosis?
- A. Ask the child to bend forward at the waist and observe the child's back for asymmetry.
- B. Observe the gait while the child is walking forward heel to toe.
- C. Have the child flex the knees and look for uneven knee height.
- D. Look at the child's shoulders and hips while fully clothed.
Correct Answer: A
Rationale: Bending forward at the waist allows the nurse to observe back asymmetry, a key sign of scoliosis.