A nurse is providing care to a child who was placed in 90-90 skeletal traction 12 hr ago. Which of the following actions should the nurse take?

Choice A reason: Encouraging the child to use the trapeze bar for position changes promotes mobility, independence, and prevents complications such as skin breakdown. It allows safe repositioning without disrupting traction alignment. This is the correct intervention. Choice B reason: Maintaining the leg in an extended position is incorrect because 90-90 traction requires the hip and knee to be flexed at 90 degrees. Extending the leg would disrupt the traction setup and compromise healing. Choice C reason: Neurovascular assessments should be performed more frequently than every 4 hours, especially in the first 24 hours after traction initiation. The standard is every 1–2 hours initially to detect early signs of impaired circulation. Therefore, every 4 hours is insufficient. Choice D reason: Traction weights should never be released unless specifically ordered by the provider. Removing weights disrupts the traction system, compromises bone alignment, and increases the risk of complications. This makes the option unsafe.