Which is an appropriate nursing intervention when caring for a ...

[Haya94]

Which is an appropriate nursing intervention when caring for a child in traction?
 
  a. Remove adhesive traction straps daily to prevent skin breakdown.
  b. Assess for tightness, weakness, or contractures in uninvolved joints and muscles.
  c. Provide active range-of-motion exercises to affected extremity three times a day.
  d. Keep the child in one position to maintain good alignment.

Question 2

Which is a type of skin traction with legs in an extended position?
 
  a. Dunlop
  b. Bryant
  c. Russell
  d. Buck extension

[srodz]

Answer to Question 1

ANS: B
Traction places stress on the affected bone, joint, and muscles. The nurse must assess for tightness, weakness, or contractures developing in the uninvolved joints and muscles. The adhesive straps should be released or replaced only when absolutely necessary. Active, passive, or active with resistance exercises should be carried out for the unaffected extremity only. Movement is expected with children. Each time the child moves, the nurse should check to ensure that proper alignment is maintained.

Answer to Question 2

ANS: D
Buck extension traction is a type of skin traction with the legs in an extended position. It is used primarily for short-term immobilization, preoperatively with dislocated hips, for correcting contractures, or for bone deformities such as Legg-Calv-Perthes disease. Dunlop traction is an upper-extremity traction used for fractures of the humerus. Bryant traction is skin traction with the legs flexed at a 90-degree angle at the hip. Russell traction uses skin traction on the lower leg and a padded sling under the knee. The combination of longitudinal and perpendicular traction allows realignment of the lower extremity and immobilizes the hips and knees in a flexed position.

[Haya94]

Excellent

[jackie]

TYSM