The nurse is caring for a child in Bryant's skin traction. Which ...

[anshika]

The nurse is caring for a child in Bryant's skin traction. Which of the following is an appropriate nursing intervention for this child?
 
  1. Remove the adhesive traction straps daily to prevent skin breakdown.
   2. Check the traction frequently to ensure that proper alignment is maintained.
   3. Place the child in a prone position to maintain good alignment.
   4. Move the child as infrequently as possible to maintain traction.

Question 2

A nurse is assessing a child after an open reduction of a fractured femur. Which of the following are signs that compartment syndrome could be occurring? Select all that apply.
 
  1. Pink, warm extremity
   2. Pain not relieved by pain medication
   3. Dorsalis pedis pulse present
   4. Prolonged capillary refill time with paresthesia

[lkoler]

Answer to Question 1

2
Rationale:
1. The adhesive straps should not be removed. Removing these straps would release the traction.
2. The traction apparatus should be checked frequently to ensure that proper alignment is maintained, so that appropriate traction is applied.
3. The child should be placed in a supine position while in Bryant's traction.
4. Frequent repositioning is necessary to prevent complications of immobility.

Answer to Question 2

2, 4
Rationale:
1. Pink, warm extremity is a normal finding postfracture reduction.
2. A prolonged capillary refill time with loss of paresthesia and pain not relieved by medication are signs of compartment syndrome.
3. A present dorsalis pedis pulse would be a normal finding postfracture reduction.
4. A prolonged capillary refill time with loss of paresthesia and pain not relieved by medication are signs of compartment syndrome.

[anshika]

TYSM

[bulacsom]

Excellent