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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Correct Answer is D
Explanation
Checking for signs of skin breakdown or pressure sores is essential to prevent complications associated with skin traction. The patient should inspect the skin around the traction site regularly and report any abnormalities to the healthcare provider.
a. Removing the traction weights without healthcare provider approval can lead to inadequate traction and compromise its effectiveness.
b. Avoiding movements that cause tension on the traction is essential to maintain proper alignment and prevent further injury.
c. Reapplying the traction tape daily is not necessary and may lead to skin irritation. Proper application by healthcare professionals is essential to maintain the appropriate tension.
Correct Answer is B
Explanation
Russell's traction is used for patients with lower leg fractures to reduce muscle spasms and align the bones. It involves the application of skin traction to the lower leg.
a. Buck's traction is commonly used for patients with hip fractures, not lower leg fractures.
c. Bryant's traction is specifically designed for pediatric patients with femur fractures, not lower leg fractures in adult patients.
d. Dunlop's traction is a type of head and neck traction used for cervical spine injuries, not lower leg fractures.
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