Which of the following fractures would benefit from the use of skin traction?
A hairline fracture in the hand.
A compound fracture in the leg.
A stress fracture in the foot.
A greenstick fracture in the arm.
The Correct Answer is A
Skin traction can be used for certain types of fractures, including hairline fractures, to provide temporary stabilization and pain relief.
b. Compound fractures involve broken bones that pierce the skin, which is a contraindication for skin traction.
c. Stress fractures are overuse injuries and may not require skin traction for management.
d. Greenstick fractures are incomplete fractures common in children, and their management may not necessitate skin traction.
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Correct Answer is D
Explanation
Skin traction is a temporary and short-term intervention used to stabilize a fractured bone and provide pain relief before more definitive treatments, such as casting or surgery, are implemented.
a. Skin traction is not a long-term treatment and is usually used as an interim measure while more definitive treatments are planned.
b. Skin traction is not intended to replace surgical interventions but rather to provide stabilization until surgery is performed, if necessary.
c. Skin traction can be used before surgery but is not typically applied only during surgery for immediate fracture stabilization.
Correct Answer is B
Explanation
Checking the skin under the traction tape daily for redness is essential to monitor for signs of skin breakdown. This allows the nurse to identify early signs of pressure and adjust the traction as needed to prevent skin complications.
a. Applying lotion to the skin under the traction tape is not recommended, as it can create a barrier and interfere with the traction's effectiveness. It may also contribute to skin breakdown.
c. Keeping the traction device tightly secured at all times can lead to excessive pressure on the skin and increase the risk of skin breakdown. The traction should be secured firmly but not excessively tight.
d. Massaging the skin under the traction tape is not advisable, as it can cause friction and further damage the skin, increasing the risk of skin breakdown.
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