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

Adjusting the weight used in skin traction without a healthcare provider's order can lead to complications or improper alignment of the fractured bone. Weight adjustments should only be made based on the healthcare provider's instructions.

a. Elevating the affected limb can help reduce edema but may not be specific to skin traction care.

c. Keeping the adhesive straps or wraps clean and dry is essential to prevent skin breakdown and infection, but it is not the primary nursing consideration related to traction.

d. Encouraging active range of motion exercises is not recommended while the patient is in skin traction, as it may disrupt the traction's stabilizing effect on the fractured bone. Passive range of motion exercises may be performed as appropriate, with the healthcare provider's approval.

Deep tissue damage with visible blisters requires immediate intervention. It indicates that the skin is compromised, and the patient is at risk of developing pressure ulcers or skin breakdown. Prompt action is necessary to prevent further damage and ensure patient safety.

a. Slight redness at the site of the traction tape may be expected, and the nurse should monitor for any signs of worsening or discomfort. It does not require immediate intervention unless it progresses.

b. Minor irritation from the traction device can be managed by ensuring proper padding and positioning of the device. It is not a critical concern unless it worsens or leads to more severe skin issues.

c. Mild itching around the traction area may be common, but the nurse should assess for any signs of infection or allergic reaction. Immediate intervention is not typically required for mild itching.