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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The nurse should instruct the children’s parents to seal nonwashable items in airtight plastic bags for at least 72 hours to kill any lice or nits that may be on those items.
Choice A is incorrect because lice are specific to humans and do not infest dogs
or cats.
Choice B is incorrect because soaking combs and hairbrushes in alcohol is not necessary.
Instead, they can be soaked in hot water (at least 130°F) for 5-10 minutes.
Choice C is incorrect because spraying countertops and sinks with insecticide is not necessary and could be harmful.
Correct Answer is A
Explanation
A.Infants with spina bifida, including those with myelomeningocele, have an increased risk of rectal anomalies, so avoiding rectal temperatures is essential. The correct and safe method of temperature measurement for these infants is typically axillary.
B. Placing the infant in a side-lying positionis not recommended for a child with myelomeningocele. The preferred position isprone to avoid pressure on the sac and reduce the risk of rupture and infection.
C.Maintains a dry dressing over the sac: While the sac should be kept covered, it is typically kept moist with sterile saline-soaked gauze to prevent it from drying out and to minimize the risk of infection.
D.Performs range of motion on the infant's hips: Range of motion exercises might be indicated later on, but initially, the focus is on protecting the sac and preventing complications.
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