The nurse is preparing to apply skin traction for a patient with a fractured hip. Which area is the most appropriate location to apply the traction?

Directly over the fractured bone.

The unaffected leg.

The bony prominence on the affected side.

The area above the fractured hip.

Answer and Explanation

The Correct Answer is D

Skin traction is typically applied above the fractured area to provide a pulling force in the opposite direction to reduce swelling and discomfort. The traction should not be placed directly over the fractured bone to avoid further injury.

a. Placing traction directly over the fractured bone may exacerbate the fracture and cause additional harm.

b. Applying traction to the unaffected leg is not appropriate, as it will not address the fractured hip.

c. Applying traction to the bony prominence on the affected side can cause pressure sores and skin breakdown.

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Correct Answer is A

Explanation

Buck's traction is commonly used for patients with hip fractures. It involves the application of skin traction to the lower extremity to stabilize the hip joint and provide pain relief before surgery.

b. Russell's traction is used for patients with lower leg fractures to reduce muscle spasms and align the bones. It is not the most common type of traction used for hip fractures.

c. Bryant's traction is specifically designed for pediatric patients with femur fractures. It is not typically used for hip fractures in adult patients.

d. Dunlop's traction is a type of head and neck traction used for cervical spine injuries. It is not used for hip fractures.

A. Applying petroleum jelly to the skin under the traction tape. B. Keeping the traction device loose to allow for movement. C. Repositioning the patient every 4 hours. D. Applying direct pressure to the skin over bony prominences.

Correct Answer is C

Explanation

A. Applying petroleum jelly to the skin under the traction tape. Petroleum jelly should not be applied, as it can soften the skin and increase the risk of maceration or skin breakdown under the traction tape.

B. Keeping the traction device loose to allow for movement. The traction must remain properly secured to maintain alignment and prevent further injury. Loosening it defeats the purpose of traction and can lead to complications.

C. Repositioning the patient every 4 hours.Repositioning at least every 2- 4 hours helps relieve pressure, promote circulation, and prevent skin breakdown.Turning every 4 hours on a viscoelastic foam mattress/surface results in fewer pressure ulcers than turning every 2 hours on a standard mattress.

D. Applying direct pressure to the skin over bony prominences. Applying direct pressure to bony prominences increases the risk of skin breakdown and worsens pressure injuries. Instead, pressure should be relieved by using cushions or proper repositioning techniques.

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The nurse is preparing to apply skin traction for a patient with a fractured hip. Which area is the most appropriate location to apply the traction?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which type of skin traction is commonly used for patients with hip fractures?

Correct Answer is A

Explanation

The nurse is caring for a patient in skin traction. Which intervention is essential to prevent pressure ulcers?

Correct Answer is C

Explanation

The nurse is providing care for a patient in skin traction. What intervention should the nurse implement to prevent contractures?

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

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 preparing to reposition a patient with skin traction. What action should the nurse take to ensure proper alignment?

How does skin traction compare to skeletal traction in nursing practice?

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

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

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