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

Deep tissue damage with visible blisters requires 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. Minor irritation from the traction device can be managed by ensuring proper padding and positioning of the device. It is not a critical concern unless it worsens or leads to more severe skin issues.

c. Mild itching around the traction area may be common, but the nurse should assess for any signs of infection or allergic reaction. Immediate intervention is not typically required for mild itching.

In skin traction, adhesive straps or wraps are applied to the skin near the fractured area, and weights are attached to create a pulling force. The pulling force helps to align and stabilize the fractured bone.

a. Skin traction does not involve surgically inserting metal pins into the bone. That technique is called skeletal traction.

b. Skin traction does not apply pressure directly on the fracture site; it uses a pulling force applied through the skin.

c. Adhesive straps or wraps are applied near the fractured area, not directly over it, to avoid pressure on the fracture site.