In caring for a child in traction, which intervention is the highest priority for the nurse?

Assess the fingers for warmth, pain, and function

Assess fingers or toes carefully for warmth, pain, and function after application of a cast to be certain a compartment syndrome is not developing. Before a cast is applied, not after, a tube of stockinette is stretched over the area, and soft cotton padding is placed over bony prominences. A "window" may be placed in a cast for an open fracture or if an infection is suspected—not to prevent an infection—so that the area can be observed; however, a window is not indicated in this case. The x-ray should be performed before casting, to diagnose the fracture, not afterward.

when on the floor, rising to the knees and pressing the hands against the ankles, knees, and thighs to stand

A Gower sign is when children "walk up their front." When on the floor, the only way they can stand is to roll on their stomach and push themselves up to their knees. They then press their hands against their ankles, knees, and thighs. The presence of a waddling gait, difficulty climbing stairs, and a short heel cord are all present in Duchenne muscular dystrophy, but they are not the Gower sign. Meeting milestones late is also a symptom of this disorder, but it is not the Gower sign.

What actions should the nurse take when caring for a child in any type of traction?

Which client would be the most likely person to be diagnosed with idiopathic scoliosis that requires treatment?

Which diagnostic measure is most accurate in detecting neural tube defects?

Which characteristic is true of cerebral palsy?