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 D
Explanation
Skin traction is typically applied above the fractured area to provide a pulling force in the opposite direction to reduce swelling and discomfort. The traction should not be placed directly over the fractured bone to avoid further injury.
a. Placing traction directly over the fractured bone may exacerbate the fracture and cause additional harm.
b. Applying traction to the unaffected leg is not appropriate, as it will not address the fractured hip.
c. Applying traction to the bony prominence on the affected side can cause pressure sores and skin breakdown.
Correct Answer is D
Explanation
Purplish discoloration below the traction site may indicate impaired circulation, and it requires immediate intervention to prevent further complications like pressure ulcers or nerve damage.
a. Mild redness around the traction tape is common and may be expected, but it does not require immediate intervention unless it worsens or is accompanied by other signs of infection.
b. Slight discomfort at the traction site is expected as a result of the applied tension, and it can be managed with appropriate pain management techniques.
c. Skin irritation from the adhesive strips can be addressed by repositioning the strips or using appropriate skin protection measures.
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