The nurse is providing care for a patient in skin traction. What intervention should the nurse implement to prevent contractures?
Encourage active range of motion exercises.
Apply ice packs to the affected limb.
Limit the patient's fluid intake.
Maintain the traction in a continuous position.
The Correct Answer is A
Encouraging active range of motion exercises can help prevent contractures by promoting joint mobility and muscle flexibility. Contractures can occur if the patient remains immobile for an extended period.
b. Applying ice packs to the affected limb is not directly related to preventing contractures. Ice packs are typically used to reduce inflammation and swelling.
c. Limiting the patient's fluid intake is not necessary for preventing contractures. Adequate hydration is essential for overall health and well-being.
d. Maintaining the traction in a continuous position is a standard practice for skin traction. However, it does not specifically address the prevention of contractures.
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Related Questions
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.
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.
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