Answer:
The correct answer is B) Checking the weights hourly. Fixed skeletal traction using tongs and weights is a type of traction that applies a direct pull on the bone by inserting metal tongs into the skull. The tongs are then attached to a pulley system and weights that provide the countertraction. This type of traction is used to treat fractures or dislocations of the cervical spine12. The nursing intervention that is included in the care plan when managing a client with this type of traction is checking the weights hourly to ensure that they are hanging freely and providing the correct amount of pull. This is important to maintain the alignment and immobilization of the spine and prevent complications such as nerve damage, infection, or loss of reduction345.
The other options are incorrect because they are not appropriate for this type of traction. Massaging the traction site is not recommended because it can cause irritation, infection, or displacement of the tongs. Removing the traction briefly for comfort is not allowed because it can disrupt the alignment and stability of the spine and cause further injury. Loosening the traction as needed is not advisable because it can reduce the effectiveness of the traction and interfere with the healing process. Therefore, the best nursing intervention is checking the weights hourly. I hope this helps you understand how to care for a client with fixed skeletal traction using tongs and weights.