When providing care 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?
Change position every 2 hours.
Monitor peripheral pulses and sensation in the right leg.
Cleanse pin sites as prescribed.
Assess skin for redness and signs of tissue breakdown.
The Correct Answer is B
When caring for a child in balanced suspension skeletal traction, the most important intervention for the nurse to implement is monitoring peripheral pulses and sensation in the affected leg to detect any compromise in circulation or nerve function. This is crucial because the traction places tension on the bones, which can result in nerve or vascular damage.
Changing positions every 2 hours is important to prevent pressure injuries, but it is not the most critical intervention.
Cleansing pin sites and assessing skin for redness and signs of tissue breakdown are also important, but they are not as urgent as monitoring peripheral pulses and sensation.
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Related Questions
Correct Answer is ["B","D","E","F"]
Explanation
The statements made by the caregiver that demonstrate an understanding of the education on treatment for a school-age child recently diagnosed with attention-deficit/hyperactivity disorder (ADHD) include designating an established area for study, knowing that medication is not always the best approach to treatment, creating an organization chart for tasks, and maintaining a consistent home schedule.
These strategies can help the child with ADHD to focus and manage their symptoms. The statement that nonstimulant medications show little benefit in treatment is not accurate; nonstimulant medications can be effective in treating ADHD. The statement that the child will be automatically entered into a specialized education plan is not accurate; an individualized education plan (IEP) must be developed and agreed upon by the school and parents.
Correct Answer is D
Explanation
To ensure the cooperation of a preschooler during an assessment of lung sounds, the nurse can allow the child to use a stethoscope on a stuffed animal. This helps the child understand what is happening and feel more comfortable with the procedure. Having the child blow a cotton ball (A), placing a toy in the child's hands (B), and offering bubbles (C ) may distract the child but do not directly involve them in the procedure.
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