Which of the following fractures would benefit from the use of skin traction?
A hairline fracture in the hand.
A compound fracture in the leg.
A stress fracture in the foot.
A greenstick fracture in the arm.
The Correct Answer is A
Skin traction can be used for certain types of fractures, including hairline fractures, to provide temporary stabilization and pain relief.
b. Compound fractures involve broken bones that pierce the skin, which is a contraindication for skin traction.
c. Stress fractures are overuse injuries and may not require skin traction for management.
d. Greenstick fractures are incomplete fractures common in children, and their management may not necessitate skin traction.
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Correct Answer is D
Explanation
The patient stating that the pain is worse with the traction off requires further intervention. Skin traction should relieve pain and discomfort; an increase in pain when the traction is off may indicate inadequate traction or an underlying issue.
a. The patient rating pain as a 3 on a scale of 0 to 10 suggests mild pain and may be expected with some level of discomfort related to the fracture and traction.
b. The patient's pain being well-controlled with prescribed analgesics is a positive finding and indicates that the current pain management plan is effective.
c. The patient reporting occasional sharp pain during movement may be expected with skin traction, but the nurse should assess for any signs of worsening or intolerable pain.
Correct Answer is D
Explanation
In skin traction, adhesive straps or wraps are applied to the skin near the fractured area, and weights are attached to create a pulling force. The pulling force helps to align and stabilize the fractured bone.
a. Skin traction does not involve surgically inserting metal pins into the bone. That technique is called skeletal traction.
b. Skin traction does not apply pressure directly on the fracture site; it uses a pulling force applied through the skin.
c. Adhesive straps or wraps are applied near the fractured area, not directly over it, to avoid pressure on the fracture site.
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