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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Related Questions
Correct Answer is A
Explanation
The patient's report of minimal discomfort indicates successful skin traction. Traction should alleviate pain and provide proper alignment of the fractured bone, leading to improved comfort for the patient.
b. The patient's pain being unchanged from before traction suggests that the traction may not be effectively relieving the pressure on the fractured bone.
c. The patient's leg appearing slightly misaligned indicates that the traction may not be adequately stabilizing the fracture, which is not a desirable outcome.
d. The patient's fractured femur showing signs of healing is not an immediate evaluation parameter for skin traction effectiveness. Skin traction is primarily aimed at reducing pain and realigning the bone.
Correct Answer is D
Explanation
Engaging in regular communication to discuss the patient's progress demonstrates effective nursing collaboration. This allows the nurse and physical therapist to coordinate care, make adjustments to the treatment plan, and ensure the best possible outcomes for the patient.
a. Taking over the physical therapist's treatment plan without discussion is not collaborative and can lead to misunderstandings and conflicts between the nurse and the physical therapist.
b. Providing the physical therapist with outdated patient information can compromise the patient's care and is not conducive to effective collaboration.
c. Scheduling therapy sessions at a convenient time for the nurse disregards the needs and progress of the patient, which is not a collaborative approach.
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