A nurse is planning to teach a client who is scheduled for an intravenous pyelogram (IVP). Which of the following statements should the nurse include in the teaching?

Choice A reason:

Skin traction is indeed less restrictive than skeletal traction, allowing for more mobility. It is applied using bandages or adhesive material to the skin, which can be removed or adjusted more easily than the pins or screws used in skeletal traction. This type of traction is typically used for short-term treatment before surgery or when the injury is less severe.

Choice B reason:

Discomfort levels can vary depending on the individual and the specific circumstances of the traction. However, skin traction is generally considered to be less painful than skeletal traction because it is less invasive and applies less force. Skeletal traction, which involves the insertion of pins or wires directly into the bone, is likely to cause more discomfort due to the invasive nature of the procedure.

Choice C reason:

Skeletal traction is more appropriate for reducing fractures, especially in cases where a greater force is needed to align the bones. It involves the surgical insertion of pins or wires directly into the bone, allowing for a stronger and more stable pull that is necessary for the realignment of complex fractures.

Choice D reason:

Skeletal traction carries a higher risk of infection compared to skin traction because it is more invasive. The insertion of pins or wires into the bone creates a potential entry point for bacteria, which can lead to infection at the site of insertion.

Choice A reason:
The location of the burn is crucial in assessing the severity because burns to the face, neck, and upper extremities can compromise vital functions. For example, burns to the face may affect the airway and respiratory system, while burns to the hands can impair mobility and the ability to perform daily tasks. The depth of the burn at these locations also affects the severity assessment, as deeper burns can damage underlying tissues and structures.

Choice B reason:
While the age of the client can influence the healing process and the risk of complications, it is not the primary factor in assessing the initial severity of the burn. However, age is considered when planning treatment and rehabilitation, as children and the elderly may have different healing rates and responses to therapy.

Choice C reason:
The cause of the burn can provide context for potential complications, such as inhalation injury from a fire or chemical exposure. However, the immediate assessment of severity is more focused on the observable damage to the skin and underlying tissues rather than the cause of the burn.

Choice D reason:
The client's associated medical history is important for understanding potential risks and complications during the healing process, but it is not the primary factor in assessing the severity of the burn. The medical history will be more relevant when considering the client's overall prognosis and planning long-term care.