The nurse is providing discharge instructions to a patient with skin traction. Which statement by the patient indicates a need for further teaching?
"I will clean the skin under the traction tape with mild soap and water daily."
"I will report any signs of skin redness or irritation to the nurse."
"I can remove the traction device if it becomes uncomfortable."
"I will use the trapeze bar to reposition myself in bed."
The Correct Answer is C
The patient should not remove the traction device independently. Removing the traction can compromise the effectiveness of fracture reduction and delay healing. Only healthcare professionals should adjust or remove the traction as needed.
a. Cleaning the skin under the traction tape with mild soap and water daily helps to maintain skin integrity and reduce the risk of infection.
b. Reporting any signs of skin redness or irritation to the nurse is essential to monitor for potential skin breakdown and prevent complications.
d. Using the trapeze bar to reposition in bed is an appropriate method for the patient to move independently without compromising the traction's stability.
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Related Questions
Correct Answer is D
Explanation
Visible signs of skin breakdown under the traction tape require 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. Mild discomfort during movement of the affected limb is common with skin traction, and the nurse should assess for any signs of worsening or intolerable pain.
c. Pain rated as 6 out of 10 on the pain scale should be addressed, but it does not require immediate intervention unless it is associated with other concerning signs or symptoms
Correct Answer is C
Explanation
Bryant's traction is specifically designed for pediatric patients with femur fractures. It involves elevating the legs and applying skin traction to the lower extremities to stabilize the fracture.
a. Buck's traction is commonly used for patients with hip fractures, not pediatric patients with femur fractures.
b. Russell's traction is used for patients with lower leg fractures, not pediatric femur fractures.
d. Dunlop's traction is a type of head and neck traction used for cervical spine injuries, not pediatric femur fractures.
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