A nurse cares for a child with Legg-Calve-Perthes disease and is in Buck extension traction. Which of the following actions should the nurse take?

Choice A reason: Removing the traction boot during baths disrupts Buck extension traction, used to stabilize the femoral head in Legg-Calve-Perthes disease. Continuous traction maintains alignment, and removal risks joint displacement, delaying healing of the avascular necrosis affecting the femoral head. Choice B reason: Repositioning every 2 hours prevents pressure ulcers and maintains circulation in a child in Buck traction for Legg-Calve-Perthes disease. Regular movement within traction limits reduces skin breakdown and promotes comfort, supporting healing of the femoral head by maintaining proper positioning. Choice C reason: Antibiotic ointment is used for skeletal traction with pins, not Buck extension traction, which uses skin traction. Legg-Calve-Perthes disease treatment does not involve pins, making this action irrelevant, as there are no pin sites to manage for infection prevention. Choice D reason: Reducing fluid intake is inappropriate, as adequate hydration supports circulation and healing in Legg-Calve-Perthes disease. Dehydration risks urinary and cardiovascular complications, hindering recovery from avascular necrosis, making this action counterproductive to the child’s overall health and treatment.