A nurse is discussing Russell's traction with a newly licensed nurse. Which of the following statements about this form of traction should the nurse include in the teaching?
Russell's traction uses skeletal pins to stabilize the fracture.
Russell's traction uses a pelvic girdle belt to decrease lower back pain.
Russell's traction uses a sling under the knee to treat a fracture of the femur.
Russell's traction uses a cervical halter to decrease cervical muscle spasms.
The Correct Answer is C
A. Russell's traction does not use skeletal pins. Skeletal traction involves the use of pins, wires, or screws inserted directly into the bone to stabilize a fracture.
B. Russell's traction does not involve the use of a pelvic girdle belt. Pelvic girdle belts are more commonly associated with some other forms of traction used for different purposes.
C. Russell's traction is specifically used for the treatment of a fracture of the femur, and it involves a sling placed under the knee to support and immobilize the affected leg.
D. Russell's traction is not used to decrease cervical muscle spasms. Cervical traction, using a cervical halter, is a separate form of traction used for cervical spine-related issues.
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Correct Answer is D
Explanation
A. Transverse fractures occur straight across the bone. In this case, the bone is splintered, which is not characteristic of a transverse fracture.
B. Oblique fractures have a diagonal break across the bone. This does not match the description provided in the scenario.
C. Impacted fractures occur when one end of the bone is forced into the adjacent bone. This does not align with the description of the fracture in the scenario.
D. Correct. A comminuted fracture involves the bone breaking into multiple fragments or pieces. This aligns with the description provided in the scenario where the bone is splintered into several pieces around the shaft.
Correct Answer is C
Explanation
A. Remove the elastic bandage and re-wrap the stump once per day: This is not recommended. The elastic bandage provides support and helps reduce swelling. It should only be removed and re-wrapped as directed by the healthcare provider.
B. Secure the elastic bandage to the lowest joint: The bandage should be secure, but it should not be tied too tightly or secured directly over a joint. This could restrict blood flow and cause discomfort.
C. Wrap the stump with an elastic bandage in a figure-eight configuration: This is the correct action. A figure-eight configuration helps distribute pressure evenly, providing support and reducing the risk of edema and complications.
D. Perform passive range-of-motion exercises once daily: Range-of-motion exercises are important, but they should be performed within the parameters set by the healthcare provider. They should not be performed only once daily, and it's essential to avoid overexertion or straining the residual limb.
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