A nurse is caring for a school-age child who is in Buck's traction following a leg fracture 24 hours ago. Which of the following actions should the nurse take?

A. Assess peripheral pulses once every 4 hours.
B. Buck's traction is a type of skin traction that can be used to immobilize extremities prior to surgery.
C. The nurse should provide frequent neurovascular checks at least every 4 hours after the first 24 hours of placement in Buck's traction.
D. The nurse should monitor and report signs of neurovascular impairment in the extremities such as cyanosis, edema, pain, absent pulses, and tingling.

Question

29-08-2023
Health

High School

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A nurse is caring for a school-age child who is in Buck's traction following a leg fracture 24 hours ago. Which of the following actions should the nurse take?

A. Assess peripheral pulses once every 4 hours.
B. Buck's traction is a type of skin traction that can be used to immobilize extremities prior to surgery.
C. The nurse should provide frequent neurovascular checks at least every 4 hours after the first 24 hours of placement in Buck's traction.
D. The nurse should monitor and report signs of neurovascular impairment in the extremities such as cyanosis, edema, pain, absent pulses, and tingling.

Answer :

Final answer:

The nurse should monitor the child's peripheral pulses every 4 hours, perform neurovascular checks every 4 hours after the first 24 hours of Buck's traction, and look out for signs of any neurovascular impairment like cyanosis, edema, pain, absent pulses, and tingling.

Explanation:

Regarding a school age child who has had a leg fracture and is in Buck's traction, the nursing actions should as follows. First, action A) suggesting to assess peripheral pulses once every 4hrs is important in monitoring their circulatory status. Secondly, frequent neurovascular checks - as in action C) - should be provided at least every 4 hr after the first 24 hr of placement in Buck's traction. This helps track any changes in the child's nerve and blood vessel function in the injured leg. Lastly, action D) guides that the nurse should monitor and report signs of neurovascular impairment in the extremities such as cyanosis, edema, pain, absent pulses, and tingling. Noticing these signs early can help prevent complications such as infections and severe damage.

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