Which type of skin traction is applied to patients with fractures of the lower back and lower extremities?

Skin traction is most beneficial for patients with fractures who are awaiting definitive treatment, such as surgical fixation. It provides temporary stabilization and pain relief for the fractured bone until further treatment is initiated.

a. Skin traction is not typically used for chronic joint inflammation; it is specific to fractures.

b. Skin traction is not used to treat dislocated joints; other interventions are employed for joint reductions.

d. Skin traction is not indicated for muscle strains; it is primarily used for 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.