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.

Answer and Explanation

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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Correct Answer is C

Explanation

A. Applying petroleum jelly to the skin under the traction tape. Petroleum jelly should not be applied, as it can soften the skin and increase the risk of maceration or skin breakdown under the traction tape.

B. Keeping the traction device loose to allow for movement. The traction must remain properly secured to maintain alignment and prevent further injury. Loosening it defeats the purpose of traction and can lead to complications.

C. Repositioning the patient every 4 hours.Repositioning at least every 2- 4 hours helps relieve pressure, promote circulation, and prevent skin breakdown.Turning every 4 hours on a viscoelastic foam mattress/surface results in fewer pressure ulcers than turning every 2 hours on a standard mattress.

D. Applying direct pressure to the skin over bony prominences. Applying direct pressure to bony prominences increases the risk of skin breakdown and worsens pressure injuries. Instead, pressure should be relieved by using cushions or proper repositioning techniques.

A. Mild discomfort at the traction site. B. Swelling and discoloration of the affected limb. C. Traction weights hanging freely off the edge of the bed. D. Traction cords secured with tape to the bedrails.

Correct Answer is B

Explanation

Swelling and discoloration of the affected limb can indicate neurovascular compromise and require immediate intervention. The nurse should assess circulation, sensation, and motion of the affected limb and notify the healthcare provider promptly.

a. Mild discomfort at the traction site is common and expected. The nurse can provide pain relief measures as prescribed.

c. Traction weights hanging freely off the edge of the bed is the correct way to set up skin traction. This finding does not raise concern.

d. Traction cords secured with tape to the bedrails is the appropriate way to secure the traction. This finding does not raise concern.

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When is skin traction contraindicated in patient care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a patient in skin traction. Which intervention is essential to prevent pressure ulcers?

Correct Answer is C

Explanation

The nurse is assessing a patient with skin traction. What finding would be of concern and require immediate intervention?

Correct Answer is B

Explanation

The nurse is caring for a patient with skin traction. What is a potential complication of inadequate traction?

The nurse is educating a patient with skin traction about self-care measures. Which instruction should the nurse provide to the patient?

Which of the following fractures would benefit from the use of skin traction?

The nurse is preparing to apply skin traction to a patient's lower leg. What is the primary purpose of applying skin traction in this situation?

The nurse is evaluating the patient's range of motion in skin traction. Which finding requires further assessment?

The nurse is evaluating the skin condition of a patient in skeletal traction. Which finding requires immediate intervention?

The nurse is caring for a patient with skin traction. What action should the nurse take to prevent skin breakdown?

The nurse is collaborating with the healthcare team to provide care for a patient in skin traction. Which action demonstrates effective nursing collaboration?