A nurse is caring for a toddler who has a fractured right femur and is in Bryant traction.
When determining that the traction is appropriately assembled, the nurse should observe which of the following?
A padded sling is under the knee of the affected leg.
Skin straps maintain the leg in an extended position.
Weights are attached to a pin that is inserted into the femur.
The buttocks are elevated slightly off of the bed.
The Correct Answer is D
When determining that Bryant's traction is appropriately assembled, the nurse should observe that the buttocks is elevated slightly off of the bed.
In Bryant traction, both of the patient’s limbs are suspended in the air vertically at a ninety-degree angle from the hips and knees slightly flexed.
Choice A is incorrect because a padded sling is not used under the knee of the affected leg in Bryant traction.
Choice B is incorrect because skin straps are not used to maintain the leg in an
extended position in Bryant traction.
Choice C is incorrect because weights are not attached to a pin that is inserted into the femur in Bryant traction.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Individuals with spina bifida who are paralyzed from the waist down may have difficulty emptying their bladder completely and may need to perform intermittent catheterization.
The frequency of catheterization can vary depending on the individual’s needs, but it is typically performed every 3-6 hours or 4-6 times per day.
Choice A, “I do wheelchair exercises while watching TV,” is a positive statement because exercise is important for overall health and well-being.
Choice B, “I carry a water bottle with me because I drink a lot of water,” is also a positive statement because staying hydrated is important for overall health.
Choice C, “I use a suppository every night to have a bowel movement,” is not necessarily an indication for further teaching because some individuals with spinal bifida may need to use bowel management techniques such as suppositories to help regulate bowel movements.
Correct Answer is B
Explanation
A calcium level of 8.0 mg/dL is below the normal range for adults, which is 8.8 to 10.4 mg/dL.
This condition is known as hypocalcemia and can cause muscle spasms and aches.
Choice A is incorrect because a positive Chvostek’s sign, not a negative one, is a clinical sign of hypocalcemia.
Choice C is incorrect because dry, sticky mucous membranes are not a symptom of hypocalcemia.
Choice D is incorrect because polyuria (frequent urination) is a symptom of hypercalcemia (high calcium levels), not hypocalcemia.
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