Question

The client is in skeletal traction with 20lb of traction applied to a right lower leg fracture. Which intervention should the nurse perform at regular intervals?

Answer 1

The nurse should check the traction equipment and the client's overall condition, assess the skin, and encourage mobility and provide comfort measures at regular intervals for a client in skeletal traction.

Step-by-step explanation:

If the client is in skeletal traction with 20lb of traction applied to a right lower leg fracture, the nurse should perform the following intervention at regular intervals:

• Check the traction equipment and the client's overall condition: The nurse should assess the traction setup, including pulley and rope, to ensure that it is functioning properly. The nurse should also monitor the client's vital signs and assess for any signs of pain or discomfort.
• Assess the skin: The nurse should regularly inspect the skin around the traction site for any signs of redness, swelling, or breakdown. This helps to prevent complications like pressure ulcers.
• Encourage mobility and provide comfort measures: The nurse should assist the client with turning and repositioning to prevent complications such as pressure sores and joint stiffness. Additionally, providing pain relief measures, such as administering prescribed analgesics, can help to alleviate discomfort.