The nurse is providing discharge education to a patient with skin traction. Which instruction should the nurse include?

"Avoid any weight-bearing activities for the duration of traction."

"You may remove the traction device at night for more comfort."

"Clean the skin under the traction tape with alcohol wipes daily."

"Report any signs of skin redness or irritation to your healthcare provider."

Answer and Explanation

The Correct Answer is D

Option D is the correct instruction because the patient should be vigilant in monitoring for any signs of skin redness, irritation, or discomfort under the traction tape. Promptly reporting these symptoms to the healthcare provider allows for early intervention and prevention of skin complications.

a. "Avoid any weight-bearing activities for the duration of traction" is incorrect because weight-bearing activities are typically restricted only in certain types of traction, such as skeletal traction. The nurse should specify any activity restrictions based on the type of traction provided to the patient.

b. "You may remove the traction device at night for more comfort" is incorrect. Skin traction is a continuous intervention, and removing the device can compromise its effectiveness in providing traction and immobilizing the affected limb.

c. "Clean the skin under the traction tape with alcohol wipes daily" is incorrect. Alcohol wipes can cause skin dryness and irritation, which may exacerbate skin issues under the traction tape. The nurse should recommend gentle cleaning and moisturizing as needed.

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Correct Answer is C

Explanation

Skin traction is most beneficial for patients with fractures who are awaiting definitive treatment, such as surgical fixation. It provides temporary stabilization and pain relief for the fractured bone until further treatment is initiated.

a. Skin traction is not typically used for chronic joint inflammation; it is specific to fractures.

b. Skin traction is not used to treat dislocated joints; other interventions are employed for joint reductions.

d. Skin traction is not indicated for muscle strains; it is primarily used for fractures.

A. "You can remove the traction weights if you feel uncomfortable." B. "Avoid any movements that cause tension on the traction." C. "Reapply the traction tape daily to ensure a tight fit." D. "Check for any signs of skin breakdown or pressure sores."

Correct Answer is D

Explanation

Checking for signs of skin breakdown or pressure sores is essential to prevent complications associated with skin traction. The patient should inspect the skin around the traction site regularly and report any abnormalities to the healthcare provider.

a. Removing the traction weights without healthcare provider approval can lead to inadequate traction and compromise its effectiveness.

b. Avoiding movements that cause tension on the traction is essential to maintain proper alignment and prevent further injury.

c. Reapplying the traction tape daily is not necessary and may lead to skin irritation. Proper application by healthcare professionals is essential to maintain the appropriate tension.

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The nurse is providing discharge education to a patient with skin traction. Which instruction should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which patient would benefit most from the use of skin traction?

Correct Answer is C

Explanation

The nurse is educating a patient with skin traction about self-care measures. Which instruction should the nurse provide to the patient?

Correct Answer is D

Explanation

The nurse is preparing to reposition a patient with skin traction. What action should the nurse take to ensure proper alignment?

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?

Which statement accurately explains how skin traction is applied?

The nurse is caring for a patient with skin traction. What is a potential complication of inadequate traction?

What is the primary indication for using skin traction in nursing practice?

The nurse is assessing a patient with skin traction for any potential complications. Which finding requires immediate intervention?

The nurse is assessing a patient with skin traction. What finding would be of concern and require immediate intervention?

The nurse is caring for a patient in skin traction. Which action demonstrates effective nursing collaboration?