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?
Weights are attached to a pin that is inserted into the femur.
Skin straps maintain the leg in an extended position.
A padded sling is under the knee of the affected leg.
The buttocks is elevated slightly off of the bed.
The Correct Answer is D
Choice A reason: This is not a correct description of Bryant traction. This type of traction does not involve pins or wires inserted into the bone. It is a skin traction that uses adhesive straps or bandages attached to the skin of the lower legs.
Choice B reason: This is not a correct description of Bryant traction. This type of traction does not maintain the leg in an extended position. It flexes the hip and knee at a 90-degree angle and suspends the leg in the air.
Choice C reason: This is not a correct description of Bryant traction. This type of traction does not use a sling under the knee of the affected leg. It uses a spreader bar to keep the legs apart and prevent rotation.
Choice D reason: This is a correct description of Bryant traction. This type of traction elevates the buttocks slightly off of the bed to provide countertraction and alignment of the fractured bone.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Bacterial meningitis is an inflammation of the meninges, the membranes that cover the brain and spinal cord, caused by a bacterial infection. It can cause fever, headache, neck stiffness, photophobia, and altered mental status. The cerebrospinal fluid (CSF) analysis may show increased white blood cells, protein, and glucose. The nurse should assess the neck range of motion and the reaction to pupil assessment, as these may indicate increased intracranial pressure.
Choice B reason: Encephalitis is an inflammation of the brain tissue, usually caused by a viral infection. It can cause fever, headache, confusion, seizures, and focal neurological deficits. The CSF analysis may show increased white blood cells and protein, but normal glucose. The nurse should assess the level of consciousness and the neurological status, as these may indicate brain damage.
Choice C reason: Gastroenteritis is an inflammation of the stomach and intestines, usually caused by a viral or bacterial infection. It can cause nausea, vomiting, diarrhea, abdominal pain, and dehydration. The nurse should assess the gastrointestinal manifestations and the vital signs, as these may indicate fluid and electrolyte imbalance.
Choice D reason: Migraine is a type of headache that involves recurrent episodes of moderate to severe pain, usually on one side of the head, often accompanied by nausea, vomiting, and sensitivity to light and sound. The nurse should assess the location and duration of pain, the triggers and relievers, and the history of migraine. The CSF analysis is usually normal.
Correct Answer is A
Explanation
Choice A reason: The posterior fontanel, which is the soft spot at the back of the infant's head, normally closes by 2 to 4 months of age. Therefore, the nurse should expect to find a closed posterior fontanel in a 6-month-old infant.
Choice B reason: Lateral incisors, which are the teeth on either side of the central incisors, normally erupt between 7 and 10 months of age. Therefore, the nurse should not expect to find lateral incisors in a 6-month-old infant.
Choice C reason: Sitting steadily without support is a developmental milestone that is usually achieved between 6 and 9 months of age. Therefore, the nurse may or may not expect to find this skill in a 6-month-old infant, depending on the individual variation.
Choice D reason: Using thumb and index fingers in a pincer grasp is a fine motor skill that is usually developed between 9 and 12 months of age. Therefore, the nurse should not expect to find this skill in a 6-month-old infant.
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