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 B

Explanation

Swelling and discoloration of the affected limb can indicate neurovascular compromise and require immediate intervention. The nurse should assess circulation, sensation, and motion of the affected limb and notify the healthcare provider promptly.

a. Mild discomfort at the traction site is common and expected. The nurse can provide pain relief measures as prescribed.

c. Traction weights hanging freely off the edge of the bed is the correct way to set up skin traction. This finding does not raise concern.

d. Traction cords secured with tape to the bedrails is the appropriate way to secure the traction. This finding does not raise concern.

A. Elevating the affected limb above heart level to reduce edema. B. Avoiding weight adjustments in the traction without the healthcare provider's order. C. Keeping the adhesive straps or wraps clean and dry to prevent infection. D. Encouraging active range of motion exercises for the affected limb.

Correct Answer is B

Explanation

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.

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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 assessing a patient with skin traction. What finding would be of concern and require immediate intervention?

Correct Answer is B

Explanation

What is an important nursing consideration when caring for a patient with skin traction?

Correct Answer is B

Explanation

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