The nurse is caring for a patient with skin traction. What is a potential complication of skin traction?
Increased risk of falls.
Pressure ulcer development.
Hypertension.
Constipation.
The Correct Answer is B
A potential complication of skin traction is pressure ulcer development due to constant pressure on the skin from the traction apparatus. The nurse should regularly assess the skin under the traction to prevent skin breakdown.
a. Increased risk of falls is not directly related to skin traction. However, the nurse should implement fall prevention measures for all patients as appropriate.
c. Hypertension is not directly related to skin traction. It is a condition characterized by elevated blood pressure.
d. Constipation is not directly related to skin traction. It can be caused by various factors, including medications and immobility, but it is not a specific complication of skin traction.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Buck's traction is often used for patients with fractures of the lower back and lower extremities. It helps stabilize the area and reduce pain before further treatment.
b. Russell's traction is used for lower leg fractures, not fractures of the lower back and lower extremities.
c. Bryant's traction is specifically designed for pediatric femur fractures, not fractures in the lower back or lower extremities.
d. Dunlop's traction is a type of head and neck traction, not used for fractures of the lower back or lower extremities.
Correct Answer is D
Explanation
The patient stating that the pain is worse with the traction off requires further intervention. Skin traction should relieve pain and discomfort; an increase in pain when the traction is off may indicate inadequate traction or an underlying issue.
a. The patient rating pain as a 3 on a scale of 0 to 10 suggests mild pain and may be expected with some level of discomfort related to the fracture and traction.
b. The patient's pain being well-controlled with prescribed analgesics is a positive finding and indicates that the current pain management plan is effective.
c. The patient reporting occasional sharp pain during movement may be expected with skin traction, but the nurse should assess for any signs of worsening or intolerable pain.
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