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.

Answer and Explanation

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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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.

A. "I will clean the skin under the traction tape with mild soap and water daily." B. "I will report any signs of skin redness or irritation to the nurse." C. "I can remove the traction device if it becomes uncomfortable." D. "I will use the trapeze bar to reposition myself in bed."

Correct Answer is C

Explanation

The patient should not remove the traction device independently. Removing the traction can compromise the effectiveness of fracture reduction and delay healing. Only healthcare professionals should adjust or remove the traction as needed.

a. Cleaning the skin under the traction tape with mild soap and water daily helps to maintain skin integrity and reduce the risk of infection.

b. Reporting any signs of skin redness or irritation to the nurse is essential to monitor for potential skin breakdown and prevent complications.

d. Using the trapeze bar to reposition in bed is an appropriate method for the patient to move independently without compromising the traction's stability.

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The nurse is evaluating the patient's range of motion in skin traction. Which finding requires further assessment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following fractures would benefit from the use of skin traction?

Correct Answer is A

Explanation

The nurse is providing discharge instructions to a patient with skin traction. Which statement by the patient indicates a need for further teaching?

Correct Answer is C

Explanation

The nurse is evaluating the patient's pain level after applying skin traction. Which finding indicates the need for further intervention?

The nurse is caring for a patient in skin traction. When communicating with the healthcare provider about the patient's condition, which approach demonstrates effective nursing communication?

The nurse is providing discharge teaching to a patient with skin traction. What instruction should the nurse include to promote skin integrity?

The nurse is collaborating with the physical therapist to coordinate care for a patient in skin traction. Which action demonstrates effective nursing collaboration?

Which type of skin traction is often used for patients with lower leg fractures?

The nurse is providing care to a patient in skin traction. Which intervention is essential to maintain proper traction and alignment?

The nurse is collaborating with the physical therapist to assist a patient in skin traction with range of motion exercises. Which action demonstrates effective nursing collaboration?

Which type of skin traction is applied to patients with fractures of the lower back and lower extremities?