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 D
Explanation
Skin traction is a temporary and short-term intervention used to stabilize a fractured bone and provide pain relief before more definitive treatments, such as casting or surgery, are implemented.
a. Skin traction is not a long-term treatment and is usually used as an interim measure while more definitive treatments are planned.
b. Skin traction is not intended to replace surgical interventions but rather to provide stabilization until surgery is performed, if necessary.
c. Skin traction can be used before surgery but is not typically applied only during surgery for immediate fracture stabilization.
Correct Answer is D
Explanation
Requesting physical therapy to assist with range of motion exercises demonstrates effective nursing collaboration. Physical therapists are experts in movement and can provide valuable input in promoting joint mobility for patients in traction.
a. Administering pain medication as prescribed is a standard nursing responsibility and does not involve collaboration with other healthcare providers.
b. Initiating skin traction without consulting the healthcare provider is not appropriate. Traction requires a healthcare provider's order, and nurses should not initiate any treatment without proper authorization.
c. Documenting the patient's neurovascular assessment in the chart is a part of the nurse's routine responsibilities and does not involve collaboration with other healthcare providers.
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