Answer :
The correct action for a nurse caring for a child in Buck's traction is to change the child's position every 2 hours to prevent complications and ensure proper healing, while also regularly monitoring for other signs of health status like site infections or circulation impairments.
The appropriate action for a nurse to take when caring for a school-age child with a leg fracture in Buck's traction is to maintain proper alignment and ensure that the traction is applied correctly. Therefore, the correct action from the provided options is 'a) Change the child's position every 2 hr.' Regular repositioning helps in preventing complications such as pressure ulcers and promotes good circulation, which is crucial for healing. While changing the position of the child, the nurse must be careful to maintain the tension and alignment of the traction. The use of chlorhexidine solution for peripheral pin sites cleaning is also necessary, but usually is done more frequently than every 4 days to prevent infection. The assessment of peripheral pulses is critical and should be done more frequently than once every 4 hours to monitor for signs of impaired circulation. Ensuring that the bed is elevated to a 90° angle is not indicated for patients in traction and could actually be counterproductive to the goals of traction.
Final answer:
A nurse caring for a child in Buck's traction should ensure safety, monitor for complications, and provide comfort to the child. This includes regular inspection of the traction equipment, monitoring vital signs, and providing comfort measures such as pain relief.
Explanation:
When caring for a school-age child who is in Buck's traction following a leg fracture, a nurse's primary responsibilities include ensuring the child's safety, monitoring for complications, and providing comfort.
Specifically, the nurse should inspect the traction equipment regularly to ensure it's functioning properly and the weights are hanging freely for optimal effectiveness. The nurse also needs to monitor the child's vital signs and observe for signs of complications such as infection or deep vein thrombosis, which may include increased pain, swelling, redness, or warm to the touch. Lastly, providing comfort measures are crucial which may include pain relief medications or positioning the child in a way that alleviates discomfort.
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