The nurse is caring for a patient in skin traction. Which action demonstrates effective nursing collaboration?
Administering pain medication as prescribed.
Initiating skin traction without consulting the healthcare provider.
Documenting the patient's neurovascular assessment in the chart.
Requesting physical therapy to assist with range of motion exercises.
The Correct Answer is D
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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Related Questions
Correct Answer is C
Explanation
Skin traction is a type of traction that involves applying force to the skin to reduce swelling and edema around the fractured bone. It helps to alleviate pain and promote proper alignment of the bone fragments.
a. Skin traction does not immobilize the fractured bone; rather, it provides continuous but controlled tension to reduce swelling and discomfort.
b. Skin traction is not applied directly to the fractured bone. Instead, it involves applying adhesive strips or bandages to the skin, followed by connecting weights to provide the desired tension.
d. While skin traction may promote some mobility, its primary purpose is to reduce swelling and discomfort rather than facilitating early ambulation.
Correct Answer is B
Explanation
Weak pedal pulses in the affected leg indicate a potential vascular compromise and are concerning in a patient with skin traction. It may indicate reduced blood flow, and immediate intervention is required to ensure proper circulation to the extremity.
a. Capillary refill time of less than 2 seconds is a normal finding and indicates adequate peripheral circulation. It is not indicative of a complication.
c. Symmetrical pedal pulses bilaterally are a positive finding and suggest good vascular status in both legs. It is not a potential complication.
d. Tingling sensation in the toes may be a normal sensation and does not necessarily indicate a complication unless it is accompanied by other neurovascular changes.
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