The nurse is providing discharge instructions to a patient with skin traction. Which statement by the patient indicates a need for further teaching?

"I will clean the skin under the traction tape with mild soap and water daily."

"I will report any signs of skin redness or irritation to the nurse."

"I can remove the traction device if it becomes uncomfortable."

"I will use the trapeze bar to reposition myself in bed."

Answer and Explanation

The Correct Answer is C

The patient should not remove the traction device independently. Removing the traction can compromise the effectiveness of fracture reduction and delay healing. Only healthcare professionals should adjust or remove the traction as needed.

a. Cleaning the skin under the traction tape with mild soap and water daily helps to maintain skin integrity and reduce the risk of infection.

b. Reporting any signs of skin redness or irritation to the nurse is essential to monitor for potential skin breakdown and prevent complications.

d. Using the trapeze bar to reposition in bed is an appropriate method for the patient to move independently without compromising the traction's stability.

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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.

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 instructions to a patient with skin traction. Which statement by the patient indicates a need for further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a patient with a fractured femur who has been placed in skin traction. Which action should the nurse take to prevent skin breakdown?

Correct Answer is B

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

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The nurse is providing care to a patient in skin traction. Which intervention is essential to maintain proper traction and alignment?

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