The nurse is evaluating the patient's range of motion in skin traction. Which finding requires further assessment?
The patient is able to perform active range of motion exercises.
The patient experiences some discomfort during range of motion.
The patient is unable to move the affected limb.
The patient has difficulty moving the affected limb.
The Correct Answer is C
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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Related Questions
Correct Answer is C
Explanation
Skin traction is most beneficial for patients with fractures who are awaiting definitive treatment, such as surgical fixation. It provides temporary stabilization and pain relief for the fractured bone until further treatment is initiated.
a. Skin traction is not typically used for chronic joint inflammation; it is specific to fractures.
b. Skin traction is not used to treat dislocated joints; other interventions are employed for joint reductions.
d. Skin traction is not indicated for muscle strains; it is primarily used for fractures.
Correct Answer is B
Explanation
While mild discomfort may seem minor, it could indicate skin breakdown, pressure injury, or neurovascular compromise. The nurse must immediately assess circulation, sensation, and motion (CSM) in the affected limb to rule out complications such as compartment syndrome, nerve compression, or improper traction alignment.
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