When caring for a child in balanced suspension skeletal traction using a Thomas splint and Pearson attachment to the right femur, which intervention is most important for the nurse to implement?

Monitor peripheral pulses and sensation in the right leg

Cleanse pin sites as prescribed

Check skin for redness and signs of tissue breakdown

Reposition the child every 2 hours

Answer and Explanation

The Correct Answer is A

Choice A rationale
When caring for a child in balanced suspension skeletal traction using a Thomas splint and Pearson attachment to the right femur, the most important intervention for the nurse to implement is monitoring peripheral pulses and sensation in the right leg. This is crucial because the traction places tension on the bones, which can result in nerve or vascular damage. Changes in peripheral pulses and sensation can indicate potential complications, such as compromised blood flow or nerve compression, which need immediate attention to prevent further damage.
Choice B rationale
While cleansing pin sites as prescribed is important for infection prevention, it is not the most critical intervention in the context of assessing vascular and neurologic status.
Choice C rationale
Assessing skin for redness and signs of tissue breakdown is important for skin care and preventing pressure ulcers, but it is secondary to monitoring peripheral pulses and sensations when the child is in traction.
Choice D rationale
Changing position every 2 hours is a standard nursing practice to prevent pressure ulcers and provide comfort, but it does not take precedence over monitoring circulation and sensation in the affected limb.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

Choice A rationale
While it’s true that TSH levels can influence thyroxine levels, this statement is misleading. High TSH levels do not cause low thyroxine levels. Instead, the pituitary gland produces more TSH when thyroxine levels are low in an attempt to stimulate the thyroid gland to produce more thyroxine.
Choice B rationale
Thyroxine levels in breastfeeding infants should be within the normal range. High thyroxine levels are not typical and could indicate a problem with the infant’s thyroid gland.
Choice C rationale
This statement is incorrect. The thyroid gland begins producing thyroxine before birth, and levels should be within the normal range shortly after birth.
Choice D rationale
This is the correct explanation. In congenital hypothyroidism, the thyroid gland does not produce enough thyroxine, leading to high levels of TSH. The pituitary gland produces more TSH in an attempt to stimulate the thyroid gland to produce more thyroxine.

A. Recognizes most letters and numbers B. Uses 1-word sentences C. Speaks in simple sentences with four or more words D. Uses gestures with 1 to 2-word sentences .

Correct Answer is C

Explanation

Choice A rationale
Recognizing most letters and numbers is a skill typically developed around the age of 4 or 5, not at 3 years old.
Choice B rationale
Using 1-word sentences is a milestone typically reached by the age of 2. By 3 years old, children are usually able to speak in simple sentences with four or more words.
Choice C rationale
Speaking in simple sentences with four or more words is a typical language skill for a 3-year-old child.
Choice D rationale
Using gestures with 1 to 2-word sentences is a milestone typically reached by the age of 2. By 3 years old, children are usually able to speak in simple sentences with four or more words.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

When caring for a child in balanced suspension skeletal traction using a Thomas splint and Pearson attachment to the right femur, which intervention is most important for the nurse to implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A breastfeeding infant, screened for congenital hypothyroidism, is found to have low levels of thyroxine (T4) and high levels of thyroid-stimulating hormone (TSH). What is the best explanation for this finding?

Correct Answer is D

Explanation

The nurse is assessing the growth and development of a 3-year-old child. Which speech and language skills should the nurse identify as normal developmental milestones for this child?

Correct Answer is C

Explanation

The nurse is providing education to parents about preventing otitis media recurrence in their infant. Which instruction should the nurse include?

The nurse begins collecting the medical history of a child when the child screams and tries to hide behind the parent, dropping a stuffed toy. What intervention should the nurse implement?

When initiating a peripheral intravenous (IV) infusion on an infant, what action should the nurse take?

A 9-week-old infant is scheduled for a cleft lip repair. What information is most important for the nurse to convey to the surgeon before transporting the infant to the surgical suite?

A mother brings her 2-month-old to the well-baby clinic. She mentions that when she kisses her baby, the infant’s skin tastes salty. What standard diagnostic test should the nurse prepare the mother for to screen for cystic fibrosis (CF)?

The nurse is teaching a school-age child with left femoral osteomyelitis and the child’s parent before discharge. What instruction should the nurse give related to the initial phase of treatment?

A 7-year-old child has been admitted to the hospital with a diagnosis of acute rheumatic fever. When taking a health history from the child’s mother, which recent illness is of most significance?