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

Purplish discoloration below the traction site may indicate impaired circulation, and it requires immediate intervention to prevent further complications like pressure ulcers or nerve damage.

a. Mild redness around the traction tape is common and may be expected, but it does not require immediate intervention unless it worsens or is accompanied by other signs of infection.

b. Slight discomfort at the traction site is expected as a result of the applied tension, and it can be managed with appropriate pain management techniques.

c. Skin irritation from the adhesive strips can be addressed by repositioning the strips or using appropriate skin protection measures.

Swelling and discoloration of the affected limb can indicate neurovascular compromise and require immediate intervention. The nurse should assess circulation, sensation, and motion of the affected limb and notify the healthcare provider promptly.

a. Mild discomfort at the traction site is common and expected. The nurse can provide pain relief measures as prescribed.

c. Traction weights hanging freely off the edge of the bed is the correct way to set up skin traction. This finding does not raise concern.

d. Traction cords secured with tape to the bedrails is the appropriate way to secure the traction. This finding does not raise concern.