Skin Traction
Skin Traction ( 48 Questions)
The nurse is assessing a patient with skin traction. What finding would be of concern and require immediate intervention?
a. Mild discomfort at the traction site is common and expected. The nurse can provide pain relief measures as prescribed.
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.
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.
Traction cords secured with tape to the bedrails is the appropriate way to secure the traction. This finding does not raise concern.
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.