The nurse is evaluating the effectiveness of skin traction for a patient with a fractured femur. Which finding indicates successful traction?
The patient reports experiencing minimal discomfort.
The patient's pain is unchanged from before traction.
The patient's leg appears slightly misaligned.
The patient's fractured femur shows signs of healing.
The Correct Answer is A
The patient's report of minimal discomfort indicates successful skin traction. Traction should alleviate pain and provide proper alignment of the fractured bone, leading to improved comfort for the patient.
b. The patient's pain being unchanged from before traction suggests that the traction may not be effectively relieving the pressure on the fractured bone.
c. The patient's leg appearing slightly misaligned indicates that the traction may not be adequately stabilizing the fracture, which is not a desirable outcome.
d. The patient's fractured femur showing signs of healing is not an immediate evaluation parameter for skin traction effectiveness. Skin traction is primarily aimed at reducing pain and realigning the bone.
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Related Questions
Correct Answer is C
Explanation
Bryant's traction is specifically designed for pediatric patients with femur fractures. It involves elevating the legs and applying skin traction to the lower extremities to stabilize the fracture.
a. Buck's traction is commonly used for patients with hip fractures, not pediatric patients with femur fractures.
b. Russell's traction is used for patients with lower leg fractures, not pediatric femur fractures.
d. Dunlop's traction is a type of head and neck traction used for cervical spine injuries, not pediatric femur fractures.
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.
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