When is skin traction contraindicated in patient care?

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.

Option D is the correct instruction because the patient should be vigilant in monitoring for any signs of skin redness, irritation, or discomfort under the traction tape. Promptly reporting these symptoms to the healthcare provider allows for early intervention and prevention of skin complications.

a. "Avoid any weight-bearing activities for the duration of traction" is incorrect because weight-bearing activities are typically restricted only in certain types of traction, such as skeletal traction. The nurse should specify any activity restrictions based on the type of traction provided to the patient.

b. "You may remove the traction device at night for more comfort" is incorrect. Skin traction is a continuous intervention, and removing the device can compromise its effectiveness in providing traction and immobilizing the affected limb.

c. "Clean the skin under the traction tape with alcohol wipes daily" is incorrect. Alcohol wipes can cause skin dryness and irritation, which may exacerbate skin issues under the traction tape. The nurse should recommend gentle cleaning and moisturizing as needed.