The nurse is caring for a patient with a fractured femur in skin traction. Which action by the nurse is appropriate?

Assessing the skin under the traction tape every 8 hours.

Tightening the traction ropes to increase the traction force.

Placing the traction weights on the bed rather than suspending them.

Removing the traction periodically to allow the skin to breathe.

Answer and Explanation

The Correct Answer is A

Option A is appropriate because assessing the skin under the traction tape helps monitor for any signs of skin breakdown, irritation, or pressure ulcers. Regular skin assessments are essential to prevent complications related to skin traction.

b. Tightening the traction ropes to increase the traction force is incorrect. The traction force should be set by the healthcare provider, and altering it without proper authorization may lead to adverse effects or further injury.

c. Placing the traction weights on the bed instead of suspending them is incorrect. Traction weights should be suspended freely to provide the appropriate traction force and maintain proper alignment of the fractured bone.

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Correct Answer is C

Explanation

Absent pedal pulses in the affected foot could indicate compromised circulation and require immediate action. The nurse should notify the healthcare provider promptly to assess and address the issue.

a. Capillary refill of less than 3 seconds in the affected limb is a normal finding and indicates adequate peripheral circulation.

b. Warm and pink skin color in the affected limb is a normal finding and indicates good blood flow.

d. Mild tingling sensation in the affected limb can be a common sensation due to traction, and it does not indicate neurovascular compromise.

A. To completely immobilize the affected limb. B. To relieve pain and discomfort. C. To promote early ambulation. D. To accelerate bone healing.

Correct Answer is B

Explanation

The primary goal of using skin traction is to provide pain relief and reduce discomfort in patients with fractured bones. Traction helps to stabilize the fracture and alleviate pressure on the affected area, leading to pain relief.

a. While some immobilization is achieved with skin traction, the main focus is on pain relief and not complete immobilization.

c. Early ambulation is not the primary goal of skin traction. Ambulation is usually initiated once the fracture is stabilized and appropriate treatment is provided.

d. While skin traction may indirectly support bone healing by reducing pain and allowing proper alignment, it is not the primary goal of this intervention.

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The nurse is caring for a patient with a fractured femur in skin traction. Which action by the nurse is appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is performing neurovascular checks on a patient with skin traction. Which assessment finding would be of concern and require immediate action?

Correct Answer is C

Explanation

What is the primary goal of using skin traction for a patient with a fractured bone?

Correct Answer is B

Explanation

The nurse is preparing to apply skin traction to a patient's lower leg. What is the primary purpose of applying skin traction in this situation?

The nurse is providing discharge education to a patient with skin traction. Which instruction should the nurse include?

The nurse is providing care to a patient in skin traction. Which intervention is essential to maintain proper traction and alignment?

Which patient would benefit most from the use of skin traction?

Which type of skin traction is commonly used for patients with hip fractures?

The nurse is collaborating with the physical therapist to assist a patient in skin traction with range of motion exercises. Which action demonstrates effective nursing collaboration?

The nurse is evaluating the patient's range of motion in skin traction. Which finding requires further assessment?

The nurse is caring for a patient in skin traction and is monitoring the patient's neurovascular status. Which finding indicates a potential complication?