A nurse is caring for a client who is in Buck's traction. Which of the following actions should the nurse take? (Select all that apply.)

Position weights against the foot of the bed,

Examine the skin under the traction splint.

Monitor peripheral pulses in the affected extremity.

Assess the temperature of the affected extremity.

just the prescribed weights every shift.

Answer and Explanation

Correct Answer : B,C,D

A. Position weights against the foot of the bed: Incorrect. Weights in Buck's traction are typically hung freely over the end of the bed to provide the necessary countertraction. Placing them against the foot of the bed would not serve this purpose.

B. Examine the skin under the traction splint: Correct. It's important to regularly assess the skin underneath the traction splint to ensure there are no signs of pressure ulcers or skin breakdown.

C. Monitor peripheral pulses in the affected extremity: Correct. This is essential to ensure that blood flow to the extremity is not compromised by the traction.

D. Assess the temperature of the affected extremity: Correct. Monitoring the temperature helps in identifying any signs of impaired circulation.

E. Adjust the prescribed weights every shift: This is not something that should be done without specific orders from the healthcare provider. Adjusting the weights should be done based on the specific plan of care and provider's instructions.

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Correct Answer is B

Explanation

A. Inability to move toes may be a sign of tightness in the cast, but it is not the first finding to be expected if the cast is too tight.

B. Pallor of the toes indicates compromised blood flow and is the earliest sign of circulatory impairment due to tightness of the cast.

C. Change in temperature of the toes may be a sign of impaired circulation, but it is not the earliest finding to be expected.

D. Edema of the toes may occur as a result of compromised circulation, but it is not the first finding to be expected if the cast is too tight.

A. Drying time is prolonged with a synthetic cast. B. A synthetic cast weighs less. C. A plaster cast requires expensive equipment for application. D. A synthetic cast immobilizes bone fractures more effectively.

Correct Answer is B

Explanation

A. Drying time is typically shorter with a synthetic cast compared to a plaster cast. Synthetic casts are designed to set faster, reducing the time the patient needs to remain immobilized during casting.

B. A synthetic cast is generally lighter in weight than a plaster cast. This can be more comfortable for the patient and may reduce the risk of muscle atrophy or discomfort associated with the cast's weight.

C. A plaster cast does not necessarily require expensive equipment for application, and both plaster and synthetic casts can be applied using relatively simple and cost-effective methods.

D. The effectiveness of immobilization is not significantly different between plaster and synthetic casts. Both types of casts can provide adequate immobilization for bone fractures, and the choice between them may depend on factors like patient preference, the type of fracture, and other clinical considerations.

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A nurse is caring for a client who is in Buck's traction. Which of the following actions should the nurse take? (Select all that apply.)

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