The nurse is educating a patient with skin traction about self-care measures. Which instruction should the nurse provide to the patient?
"You can remove the traction weights if you feel uncomfortable."
"Avoid any movements that cause tension on the traction."
"Reapply the traction tape daily to ensure a tight fit."
"Check for any signs of skin breakdown or pressure sores."
The Correct Answer is D
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.
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Related Questions
Correct Answer is A
Explanation
Skin traction can be used for certain types of fractures, including hairline fractures, to provide temporary stabilization and pain relief.
b. Compound fractures involve broken bones that pierce the skin, which is a contraindication for skin traction.
c. Stress fractures are overuse injuries and may not require skin traction for management.
d. Greenstick fractures are incomplete fractures common in children, and their management may not necessitate skin traction.
Correct Answer is C
Explanation
The patient being unable to move the affected limb in skin traction requires further assessment. Traction should allow some degree of movement, and the nurse should investigate the cause of the restricted motion and take appropriate action.
a. The patient being able to perform active range of motion exercises indicates that some mobility is possible with the traction, which is a positive finding.
b. The patient experiencing some discomfort during range of motion exercises is not unexpected, as traction may cause some discomfort due to realignment of the bone.
d. The patient having difficulty moving the affected limb may be expected with skin traction, and the nurse should continue to monitor the patient's progress.
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