What is an appropriate nursing intervention when caring for a child in traction?
a. Removing adhesive traction straps daily to prevent skin breakdown
b. Assessing for tightness, weakness, or contractures in uninvolved joints and muscles
c. Providing active range of motion exercises to affected extremity three times a day
d. Keeping child prone to maintain good alignment
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.
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