Answer :
Final answer:
The best action a nurse should take for a child in Buck extension traction due to Legg-Calve-Perthes disease is to reposition the child every 2 hours to prevent pressure ulcers. Other suggested actions are inappropriate and can lead to complications. Maintaining the traction and skin integrity is paramount in the care of such patients.
Explanation:
Nursing Care for a Child with Legg-Calve-Perthes Disease
When caring for a child with Legg-Calve-Perthes disease who is in Buck extension traction, the nurse must prioritize specific actions to ensure proper management and care. The options presented require careful consideration of the child's condition and the necessary nursing interventions.
Recommended Action
The most appropriate action for the nurse to take in this scenario is to reposition the child every 2 hours. This helps in maintaining skin integrity and preventing pressure ulcers, which is essential for children in traction.
Explanation of Other Options
- Remove the traction boot during baths: This is not recommended as the traction must be maintained during hygiene activity to prevent complications.
- Apply antibiotic ointment to pin sites daily: While maintaining pin site care is critical, the application of antibiotic ointment should only be done as prescribed, not routinely daily unless there is an indication of infection.
- Reduce fluid intake: There is no rationale for reducing fluid intake in this scenario; adequate hydration is important unless otherwise directed by a physician.
In summary, regular repositioning is essential for preventing complications, making it the correct course of action for the nurse caring for this child.
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