The nurse is evaluating the patient's range of motion in skin traction. Which finding requires further assessment?

The patient is able to perform active range of motion exercises.

The patient experiences some discomfort during range of motion.

The patient is unable to move the affected limb.

The patient has difficulty moving the affected limb.

Answer and Explanation

The Correct Answer is C

The patient being unable to move the affected limb in skin traction requires further assessment. Traction should allow some degree of movement, and the nurse should investigate the cause of the restricted motion and take appropriate action.

a. The patient being able to perform active range of motion exercises indicates that some mobility is possible with the traction, which is a positive finding.

b. The patient experiencing some discomfort during range of motion exercises is not unexpected, as traction may cause some discomfort due to realignment of the bone.

d. The patient having difficulty moving the affected limb may be expected with skin traction, and the nurse should continue to monitor the patient's progress.

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Correct Answer is A

Explanation

Encouraging active range of motion exercises can help prevent contractures by promoting joint mobility and muscle flexibility. Contractures can occur if the patient remains immobile for an extended period.

b. Applying ice packs to the affected limb is not directly related to preventing contractures. Ice packs are typically used to reduce inflammation and swelling.

c. Limiting the patient's fluid intake is not necessary for preventing contractures. Adequate hydration is essential for overall health and well-being.

d. Maintaining the traction in a continuous position is a standard practice for skin traction. However, it does not specifically address the prevention of contractures.

A. Skin traction is more invasive and requires surgical insertion of metal pins. B. Skin traction involves the use of weights attached to the skin, while skeletal traction uses weights connected to metal pins inserted into the bone. C. Skin traction is only used for chronic orthopedic conditions, while skeletal traction is specific to acute fractures. D. Skin traction is used to replace the need for surgical interventions in the management of fractures.

Correct Answer is B

Explanation

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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The nurse is evaluating the patient's range of motion in skin traction. Which finding requires further assessment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing care for a patient in skin traction. What intervention should the nurse implement to prevent contractures?

Correct Answer is A

Explanation

How does skin traction compare to skeletal traction in nursing practice?

Correct Answer is B

Explanation

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The nurse is caring for a patient in skin traction. When communicating with the healthcare provider about the patient's condition, which approach demonstrates effective nursing communication?