The nurse is performing neurovascular checks on a patient with skin traction. Which assessment finding would be of concern and require immediate action?
Capillary refill of less than 3 seconds in the affected limb.
Warm and pink skin color in the affected limb.
Absent pedal pulses in the affected foot.
Mild tingling sensation in the affected limb.
The Correct Answer is C
Absent pedal pulses in the affected foot could indicate compromised circulation and require immediate action. The nurse should notify the healthcare provider promptly to assess and address the issue.
a. Capillary refill of less than 3 seconds in the affected limb is a normal finding and indicates adequate peripheral circulation.
b. Warm and pink skin color in the affected limb is a normal finding and indicates good blood flow.
d. Mild tingling sensation in the affected limb can be a common sensation due to traction, and it does not indicate neurovascular compromise.
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Related Questions
Correct Answer is C
Explanation
Bryant's traction is specifically designed for pediatric patients with femur fractures. It involves elevating the legs and applying skin traction to the lower extremities to stabilize the fracture.
a. Buck's traction is commonly used for patients with hip fractures, not pediatric patients with femur fractures.
b. Russell's traction is used for patients with lower leg fractures, not pediatric femur fractures.
d. Dunlop's traction is a type of head and neck traction used for cervical spine injuries, not pediatric femur fractures.
Correct Answer is A
Explanation
Buck's traction is often used for patients with fractures of the lower back and lower extremities. It helps stabilize the area and reduce pain before further treatment.
b. Russell's traction is used for lower leg fractures, not fractures of the lower back and lower extremities.
c. Bryant's traction is specifically designed for pediatric femur fractures, not fractures in the lower back or lower extremities.
d. Dunlop's traction is a type of head and neck traction, not used for fractures of the lower back or lower extremities.
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