The nurse is caring for a patient with skin traction. What is an important nursing intervention to prevent complications?
Elevate the foot of the bed for comfort.
Loosen the traction bandages every 8 hours.
Assess the patient's pain level once a day.
Monitor neurovascular status regularly.
The Correct Answer is D
An important nursing intervention to prevent complications in a patient with skin traction is to monitor neurovascular status regularly. This includes assessing circulation, sensation, and motion of the affected limb to detect any signs of neurovascular compromise.
a. Elevating the foot of the bed for comfort is not directly related to preventing complications of skin traction.
b. Loosening the traction bandages every 8 hours can compromise the effectiveness of the traction and is not a recommended nursing intervention.
c. Assessing the patient's pain level once a day is important, but it is not the primary intervention for preventing complications of skin traction.
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Correct Answer is C
Explanation
Asking the physical therapist for input on the patient's progress demonstrates effective nursing collaboration. The physical therapist's expertise is valuable in assessing the patient's response to range of motion exercises in traction.
a. Taking over the physical therapist's role in performing the exercises is not appropriate, as each healthcare professional has a specific scope of practice and should work collaboratively.
b. Informing the physical therapist that the exercises are unnecessary disregards the physical therapist's expertise and is not conducive to effective collaboration.
d. Disregarding the physical therapist's recommendations undermines the collaborative effort and diminishes the potential benefits of working together.
Correct Answer is B
Explanation
Skin traction and skeletal traction are both used to stabilize and immobilize fractured bones, but they differ in the method of application. Skin traction uses weights attached to adhesive straps on the skin near the fractured area, while skeletal traction involves weights connected to metal pins inserted directly into the bone.
a. Skin traction is less invasive than skeletal traction because it does not require surgical insertion of metal pins.
c. Skin traction is not only used for chronic orthopedic conditions; it is commonly used for acute fractures as well.
d. Skin traction is not used to replace surgical interventions; it is an adjunctive intervention used in conjunction with other treatments for fractures.
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