What is the primary indication for using skin traction in nursing practice?
To treat chronic orthopedic conditions.
To immobilize a fractured bone during surgery.
To provide short-term stabilization and pain relief for a fractured bone.
To replace the need for surgical interventions for joint dislocations.
The Correct Answer is C
The primary indication for skin traction is to provide short-term stabilization and pain relief for a fractured bone. It is a non-invasive method used to align and stabilize fractures before definitive treatment, such as casting or surgery.
a. Skin traction is not used to treat chronic orthopedic conditions; it is primarily used for acute fractures.
b. Skin traction is not typically used to immobilize a fractured bone during surgery; other surgical interventions are used for that purpose.
d. Skin traction does not replace the need for surgical interventions for joint dislocations; it is specifically used for fractures.
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Correct Answer is A
Explanation
The patient's report of minimal discomfort indicates successful skin traction. Traction should alleviate pain and provide proper alignment of the fractured bone, leading to improved comfort for the patient.
b. The patient's pain being unchanged from before traction suggests that the traction may not be effectively relieving the pressure on the fractured bone.
c. The patient's leg appearing slightly misaligned indicates that the traction may not be adequately stabilizing the fracture, which is not a desirable outcome.
d. The patient's fractured femur showing signs of healing is not an immediate evaluation parameter for skin traction effectiveness. Skin traction is primarily aimed at reducing pain and realigning the bone.
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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