Which type of skin traction is specifically designed for pediatric patients with femur fractures?
Buck's traction
Russell's traction
Bryant's traction
Dunlop's traction
The Correct Answer is C
Bryant's traction is specifically designed for pediatric patients with femur fractures. It involves elevating the legs and applying skin traction to the lower extremities to stabilize the fracture.
a. Buck's traction is commonly used for patients with hip fractures, not pediatric patients with femur fractures.
b. Russell's traction is used for patients with lower leg fractures, not pediatric femur fractures.
d. Dunlop's traction is a type of head and neck traction used for cervical spine injuries, not pediatric femur fractures.
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Correct Answer is C
Explanation
If the skin traction is not properly secured, there is a risk of traction weight displacement, leading to improper alignment and ineffective traction. Proper securing of the traction is essential to maintain its therapeutic effect.
a. Fracture of the affected limb is not a direct complication of improperly secured skin traction. Fractures are typically treated with other methods, such as casting or surgical interventions.
b. Infection at the traction site may occur if proper hygiene and wound care practices are not followed. It is not directly related to the security of the traction.
d. Excessive traction pressure can occur if the traction is not properly applied or adjusted. However, the primary concern is traction weight displacement, which affects the effectiveness of the treatment.
Correct Answer is C
Explanation
A. Applying petroleum jelly to the skin under the traction tape. Petroleum jelly should not be applied, as it can soften the skin and increase the risk of maceration or skin breakdown under the traction tape.
B. Keeping the traction device loose to allow for movement. The traction must remain properly secured to maintain alignment and prevent further injury. Loosening it defeats the purpose of traction and can lead to complications.
C. Repositioning the patient every 4 hours.Repositioning at least every 2- 4 hours helps relieve pressure, promote circulation, and prevent skin breakdown.Turning every 4 hours on a viscoelastic foam mattress/surface results in fewer pressure ulcers than turning every 2 hours on a standard mattress.
D. Applying direct pressure to the skin over bony prominences. Applying direct pressure to bony prominences increases the risk of skin breakdown and worsens pressure injuries. Instead, pressure should be relieved by using cushions or proper repositioning techniques.
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