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 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.
Correct Answer is B
Explanation
: Engaging in open communication and active listening demonstrates effective nursing collaboration. Collaboration involves actively participating in discussions, sharing information, and valuing the input of all team members.
a. Refusing to seek input from other team members is not conducive to collaboration and can hinder the effectiveness of patient care.
c. Failing to communicate changes in the patient's condition can lead to errors and compromises patient safety, which is contrary to effective collaboration.
d. Limiting collaboration to only certain team members can create barriers and may result in missed opportunities for valuable input from different perspectives.
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