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

Raise the head of the bed to a 30-degree angle.

Have the patient assist in turning to the side.

Use a lift sheet to slide the patient to the desired position.

Apply a trochanter roll under the affected hip.

Answer and Explanation

The Correct Answer is C

To ensure proper alignment and prevent shearing forces on the skin, the nurse should use a lift sheet to slide the patient to the desired position. This reduces friction and minimizes the risk of skin breakdown.

a. Raising the head of the bed to a 30-degree angle does not address proper alignment for repositioning with skin traction.

b. Having the patient assist in turning to the side can place strain on the affected limb and is not recommended for patients with skin traction.

d. Applying a trochanter roll under the affected hip is not necessary for repositioning with skin traction.

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Correct Answer is C

Explanation

Using a clear and concise verbal report is an effective approach to nursing communication. It allows for the efficient transfer of essential patient information to the healthcare provider.

a. Sending a text message to the healthcare provider may not be appropriate for discussing patient information as it may not be secure and may lack important details.

b. Speaking in medical jargon during the conversation can lead to miscommunication and misunderstandings between the nurse and the healthcare provider.

d. Providing the healthcare provider with outdated patient data is not effective in patient care and may lead to incorrect decision-making.

A. Apply lotion to the skin under the traction regularly. B. Clean the skin under the traction with alcohol swabs daily. C. Use a barrier cream on the skin under the traction. D. Inspect the skin under the traction for redness and irritation daily.

Correct Answer is D

Explanation

To promote skin integrity, the nurse should instruct the patient to inspect the skin under the traction daily for signs of redness, irritation, or breakdown. Early detection of skin issues can help prevent further complications.

a. Applying lotion to the skin under the traction is not recommended, as it can interfere with proper skin assessment and cause skin irritation.

b. Cleaning the skin under the traction with alcohol swabs daily can dry out the skin and increase the risk of skin breakdown.

c. Using a barrier cream on the skin under the traction is not necessary and may not be suitable for all patients. It can also interfere with skin assessment.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

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

Correct Answer is D

Explanation

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