The nurse is assessing a patient with skin traction for any potential complications. Which finding requires immediate intervention?
Mild redness around the traction tape.
Slight discomfort at the traction site.
Skin irritation from the adhesive strips.
Purplish discoloration below the traction site.
The Correct Answer is D
Purplish discoloration below the traction site may indicate impaired circulation, and it requires immediate intervention to prevent further complications like pressure ulcers or nerve damage.
a. Mild redness around the traction tape is common and may be expected, but it does not require immediate intervention unless it worsens or is accompanied by other signs of infection.
b. Slight discomfort at the traction site is expected as a result of the applied tension, and it can be managed with appropriate pain management techniques.
c. Skin irritation from the adhesive strips can be addressed by repositioning the strips or using appropriate skin protection measures.
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Related Questions
Correct Answer is C
Explanation
Skin traction is a type of traction that involves applying force to the skin to reduce swelling and edema around the fractured bone. It helps to alleviate pain and promote proper alignment of the bone fragments.
a. Skin traction does not immobilize the fractured bone; rather, it provides continuous but controlled tension to reduce swelling and discomfort.
b. Skin traction is not applied directly to the fractured bone. Instead, it involves applying adhesive strips or bandages to the skin, followed by connecting weights to provide the desired tension.
d. While skin traction may promote some mobility, its primary purpose is to reduce swelling and discomfort rather than facilitating early ambulation.
Correct Answer is C
Explanation
Skin traction is a technique commonly used in orthopedic nursing to stabilize and align fractured bones without the need for invasive surgery. It involves attaching adhesive straps or wraps to the skin around the fractured area and applying a pulling force to maintain proper alignment.
a. Skin traction does not involve the application of a cast. It is a temporary and non-invasive method used to stabilize a fracture before further treatment is provided.
b. Skin traction is not used to reduce dislocated joints. It is specifically used for fractures.
d. Skin traction is not a surgical procedure but rather a non-surgical intervention used in conjunction with other treatments.
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