The nurse is caring for a patient with a fractured femur in skin traction. Which action by the nurse is appropriate?
Assessing the skin under the traction tape every 8 hours.
Tightening the traction ropes to increase the traction force.
Placing the traction weights on the bed rather than suspending them.
Removing the traction periodically to allow the skin to breathe.
The Correct Answer is A
Option A is appropriate because assessing the skin under the traction tape helps monitor for any signs of skin breakdown, irritation, or pressure ulcers. Regular skin assessments are essential to prevent complications related to skin traction.
b. Tightening the traction ropes to increase the traction force is incorrect. The traction force should be set by the healthcare provider, and altering it without proper authorization may lead to adverse effects or further injury.
c. Placing the traction weights on the bed instead of suspending them is incorrect. Traction weights should be suspended freely to provide the appropriate traction force and maintain proper alignment of the fractured bone.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Checking the skin under the traction tape daily for redness is essential to monitor for signs of skin breakdown. This allows the nurse to identify early signs of pressure and adjust the traction as needed to prevent skin complications.
a. Applying lotion to the skin under the traction tape is not recommended, as it can create a barrier and interfere with the traction's effectiveness. It may also contribute to skin breakdown.
c. Keeping the traction device tightly secured at all times can lead to excessive pressure on the skin and increase the risk of skin breakdown. The traction should be secured firmly but not excessively tight.
d. Massaging the skin under the traction tape is not advisable, as it can cause friction and further damage the skin, increasing the risk of skin breakdown.
Correct Answer is B
Explanation
Skin traction is contraindicated in patients with open fractures where the skin is disrupted. The risk of infection and further complications is high in such cases.
a. Skin traction is not contraindicated in patients with a history of joint dislocations. It is primarily used for fractures.
c. Skin traction is not contraindicated in patients with muscle strains, as it is specific to fractures.
d. Skin traction is not contraindicated in patients with chronic orthopedic conditions; however, it may not be the appropriate intervention for their condition.
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