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.

Answer and Explanation

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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Correct Answer is D

Explanation

A. Semi-Fowler's. While this position can help with drainage, it is generally not the first choice immediately after VP shunt surgery.

B. Prone.This position is generally not recommended as it can cause discomfort and increase intracranial pressure.

C. Trendelenburg. This position is contraindicated as it can significantly increase intracranial pressure.

D. on the unoperated side. This position helps prevent pressure on the operative site and facilitates drainage of cerebrospinal fluid. It also reduces the risk of complications associated with increased intracranial pressure.

A. Limit visitors to immediate family members. B. Maintain the infant in the supine position. C. Provide a latex-free environment. D. Initiate contact precautions.

Correct Answer is C

Explanation

Infants with spina biﬁda are at an increased risk of developing a latex allergy
due to repeated exposure to latex products during medical procedures.
Providing a latex-free environment can help prevent the development of an allergy.
Choice A is not correct because limiting visitors to immediate family members is not necessary for the care of an infant undergoing surgical closure of the myelomeningocele sac.
Choice B is not correct because maintaining the infant in the supine position is not necessary for this procedure.
Choice D is not correct because initiating contact precautions is not necessary for this procedure.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a child who is postoperative following ventriculoperitoneal (VP) shunt placement. In which of the following positions should the nurse place the client?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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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?