A nurse is caring for a child who has a fractured femur and is in traction. Which of the following actions should the nurse take to prevent equipment-related injuries in this child?
Check the alignment and position of the traction and weights regularly.
Inspect the skin under the traction device for signs of pressure or irritation.
Assess the neurovascular status of the affected extremity frequently.
All of the above.
The Correct Answer is D
Choice A reason: This action should be taken by the nurse to prevent equipment-related injuries, as it helps ensure that the traction is effective and does not cause any complications such as nerve damage, muscle spasms, or skin breakdown.
Choice B reason: This action should be taken by the nurse to prevent equipment-related injuries, as it helps prevent pressure ulcers, infection, or inflammation of the skin under the traction device.
Choice C reason: This action should be taken by the nurse to prevent equipment-related injuries, as it helps assess the blood flow, sensation, and movement of the affected extremity and detect any signs of impaired circulation, nerve compression, or compartment syndrome.
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Correct Answer is D
Explanation
Choice A reason: This action should be taken by the nurse to prevent equipment-related injuries, as it helps ensure that the traction is effective and does not cause any complications such as nerve damage, muscle spasms, or skin breakdown.
Choice B reason: This action should be taken by the nurse to prevent equipment-related injuries, as it helps prevent pressure ulcers, infection, or inflammation of the skin under the traction device.
Choice C reason: This action should be taken by the nurse to prevent equipment-related injuries, as it helps assess the blood flow, sensation, and movement of the affected extremity and detect any signs of impaired circulation, nerve compression, or compartment syndrome.
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Correct Answer is C
Explanation
Choice A reason: This is not the correct answer, as pain is not the most common type of procedure-related injury for a child who has a burn injury. Pain is an expected outcome of a burn injury and its treatment, but it can be managed with appropriate analgesics and non-pharmacological interventions.
Choice B reason: This is not the correct answer, as bleeding is not the most common type of procedure-related injury for a child who has a burn injury. Bleeding may occur during debridement or grafting of the wound, but it can be controlled with pressure dressing and hemostatic agents.
Choice C reason: This is the correct answer, as infection is the most common type of procedure-related injury for a child who has a burn injury. Infection may occur due to loss of skin barrier, exposure to microorganisms, or impaired immune response. The nurse should clean and dress the wound with sterile technique and monitor the child's temperature and white blood cell count to prevent or detect infection.
Choice D reason: This is not the correct answer, as allergic reaction is not the most common type of procedure-related injury for a child who has a burn injury. Allergic reaction may occur due to hypersensitivity to medications, dressings, or grafts, but it can be prevented or treated with antihistamines or corticosteroids.
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