The nurse is caring for a patient in skin traction. Which intervention is essential to prevent pressure ulcers?
Applying petroleum jelly to the skin under the traction tape.
Keeping the traction device loose to allow for movement.
Repositioning the patient every 4 hours.
Applying direct pressure to the skin over bony prominences.
The Correct Answer is C
A. Applying petroleum jelly to the skin under the traction tape. Petroleum jelly should not be applied, as it can soften the skin and increase the risk of maceration or skin breakdown under the traction tape.
B. Keeping the traction device loose to allow for movement. The traction must remain properly secured to maintain alignment and prevent further injury. Loosening it defeats the purpose of traction and can lead to complications.
C. Repositioning the patient every 4 hours. Repositioning at least every 2- 4 hours helps relieve pressure, promote circulation, and prevent skin breakdown. Turning every 4 hours on a viscoelastic foam mattress/surface results in fewer pressure ulcers than turning every 2 hours on a standard mattress.
D. Applying direct pressure to the skin over bony prominences. Applying direct pressure to bony prominences increases the risk of skin breakdown and worsens pressure injuries. Instead, pressure should be relieved by using cushions or proper repositioning techniques.
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Related Questions
Correct Answer is B
Explanation
Russell's traction is used for patients with lower leg fractures to reduce muscle spasms and align the bones. It involves the application of skin traction to the lower leg.
a. Buck's traction is commonly used for patients with hip fractures, not lower leg fractures.
c. Bryant's traction is specifically designed for pediatric patients with femur fractures, not lower leg fractures in adult patients.
d. Dunlop's traction is a type of head and neck traction used for cervical spine injuries, not lower leg fractures.
Correct Answer is A
Explanation
Buck's traction is commonly used for patients with hip fractures. It involves the application of skin traction to the lower extremity to stabilize the hip joint and provide pain relief before surgery.
b. Russell's traction is used for patients with lower leg fractures to reduce muscle spasms and align the bones. It is not the most common type of traction used for hip fractures.
c. Bryant's traction is specifically designed for pediatric patients with femur fractures. It is not typically used for hip fractures in adult patients.
d. Dunlop's traction is a type of head and neck traction used for cervical spine injuries. It is not used for hip fractures.
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