The nurse is evaluating the effectiveness of skin traction for a patient with a fractured femur. Which finding indicates successful traction?

Option A is appropriate because assessing the skin under the traction tape helps monitor for any signs of skin breakdown, irritation, or pressure ulcers. Regular skin assessments are essential to prevent complications related to skin traction.

b. Tightening the traction ropes to increase the traction force is incorrect. The traction force should be set by the healthcare provider, and altering it without proper authorization may lead to adverse effects or further injury.

c. Placing the traction weights on the bed instead of suspending them is incorrect. Traction weights should be suspended freely to provide the appropriate traction force and maintain proper alignment of the fractured bone.

Visible signs of skin breakdown under the traction tape require immediate intervention. It indicates that the skin is compromised, and the patient is at risk of developing pressure ulcers or skin breakdown. Prompt action is necessary to prevent further damage and ensure patient safety.

a. Slight redness at the site of the traction tape may be expected, and the nurse should monitor for any signs of worsening or discomfort. It does not require immediate intervention unless it progresses.

b. Mild discomfort during movement of the affected limb is common with skin traction, and the nurse should assess for any signs of worsening or intolerable pain.

c. Pain rated as 6 out of 10 on the pain scale should be addressed, but it does not require immediate intervention unless it is associated with other concerning signs or symptoms