When is skin traction contraindicated in patient care?
In patients with a history of joint dislocations.
In patients with open fractures.
In patients with muscle strains.
In patients with chronic orthopedic conditions.
The Correct Answer is B
Skin traction is contraindicated in patients with open fractures where the skin is disrupted. The risk of infection and further complications is high in such cases.
a. Skin traction is not contraindicated in patients with a history of joint dislocations. It is primarily used for fractures.
c. Skin traction is not contraindicated in patients with muscle strains, as it is specific to fractures.
d. Skin traction is not contraindicated in patients with chronic orthopedic conditions; however, it may not be the appropriate intervention for their condition.
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Related Questions
Correct Answer is D
Explanation
An important nursing intervention to prevent complications in a patient with skin traction is to monitor neurovascular status regularly. This includes assessing circulation, sensation, and motion of the affected limb to detect any signs of neurovascular compromise.
a. Elevating the foot of the bed for comfort is not directly related to preventing complications of skin traction.
b. Loosening the traction bandages every 8 hours can compromise the effectiveness of the traction and is not a recommended nursing intervention.
c. Assessing the patient's pain level once a day is important, but it is not the primary intervention for preventing complications of skin traction.
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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