How does skin traction compare to skeletal traction in nursing practice?
Skin traction is more invasive and requires surgical insertion of metal pins.
Skin traction involves the use of weights attached to the skin, while skeletal traction uses weights connected to metal pins inserted into the bone.
Skin traction is only used for chronic orthopedic conditions, while skeletal traction is specific to acute fractures.
Skin traction is used to replace the need for surgical interventions in the management of fractures.
The Correct Answer is B
Skin traction and skeletal traction are both used to stabilize and immobilize fractured bones, but they differ in the method of application. Skin traction uses weights attached to adhesive straps on the skin near the fractured area, while skeletal traction involves weights connected to metal pins inserted directly into the bone.
a. Skin traction is less invasive than skeletal traction because it does not require surgical insertion of metal pins.
c. Skin traction is not only used for chronic orthopedic conditions; it is commonly used for acute fractures as well.
d. Skin traction is not used to replace surgical interventions; it is an adjunctive intervention used in conjunction with other treatments for fractures.
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Correct Answer is D
Explanation
In skin traction, adhesive straps or wraps are applied to the skin near the fractured area, and weights are attached to create a pulling force. The pulling force helps to align and stabilize the fractured bone.
a. Skin traction does not involve surgically inserting metal pins into the bone. That technique is called skeletal traction.
b. Skin traction does not apply pressure directly on the fracture site; it uses a pulling force applied through the skin.
c. Adhesive straps or wraps are applied near the fractured area, not directly over it, to avoid pressure on the fracture site.
Correct Answer is D
Explanation
Requesting physical therapy to assist with range of motion exercises demonstrates effective nursing collaboration. Physical therapists are experts in movement and can provide valuable input in promoting joint mobility for patients in traction.
a. Administering pain medication as prescribed is a standard nursing responsibility and does not involve collaboration with other healthcare providers.
b. Initiating skin traction without consulting the healthcare provider is not appropriate. Traction requires a healthcare provider's order, and nurses should not initiate any treatment without proper authorization.
c. Documenting the patient's neurovascular assessment in the chart is a part of the nurse's routine responsibilities and does not involve collaboration with other healthcare providers.
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