The nurse is caring for a patient in skin traction. What is a potential complication of skin traction if not properly secured?
Fracture of the affected limb.
Infection at the traction site.
Traction weight displacement.
Excessive traction pressure.
The Correct Answer is C
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.
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Related Questions
Correct Answer is D
Explanation
Visible signs of skin breakdown under the traction tape require immediate intervention. It indicates that the skin is compromised, and the patient is at risk of developing pressure ulcers or skin breakdown. Prompt action is necessary to prevent further damage and ensure patient safety.
a. Slight redness at the site of the traction tape may be expected, and the nurse should monitor for any signs of worsening or discomfort. It does not require immediate intervention unless it progresses.
b. Mild discomfort during movement of the affected limb is common with skin traction, and the nurse should assess for any signs of worsening or intolerable pain.
c. Pain rated as 6 out of 10 on the pain scale should be addressed, but it does not require immediate intervention unless it is associated with other concerning signs or symptoms
Correct Answer is A
Explanation
The patient's report of minimal discomfort indicates successful skin traction. Traction should alleviate pain and provide proper alignment of the fractured bone, leading to improved comfort for the patient.
b. The patient's pain being unchanged from before traction suggests that the traction may not be effectively relieving the pressure on the fractured bone.
c. The patient's leg appearing slightly misaligned indicates that the traction may not be adequately stabilizing the fracture, which is not a desirable outcome.
d. The patient's fractured femur showing signs of healing is not an immediate evaluation parameter for skin traction effectiveness. Skin traction is primarily aimed at reducing pain and realigning the bone.
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