A nurse is caring for a client who has skeletal traction applied to the left leg. Which of the following actions should the nurse take?
A.
Remove the weights before changing the client’s bed linens.
B.
Instruct the client to use their elbows to reposition.
C.
Check pressure points every 12 hours.
D.
Provide the client with a trapeze bar.
The correct answer and Explanation is :
Correct Answer: D. Provide the client with a trapeze bar.
Explanation:
Skeletal traction is a therapeutic method used to maintain proper bone alignment after fractures or surgeries. It applies continuous pulling force through a pin or wire inserted directly into the bone, which helps with bone healing and relieves muscle spasms. The nurse’s role in this situation is critical, as improper care can lead to complications such as infection, pressure ulcers, or malalignment of the bones.
Why D is the correct answer:
Providing the client with a trapeze bar allows them to reposition themselves in bed without disrupting the traction or causing injury. Repositioning is crucial to prevent complications like pressure ulcers and muscle stiffness, and the trapeze bar helps the client lift their body using their arms. This action reduces the strain on the affected leg and maintains the alignment of the traction, promoting healing and comfort.
Why the other options are incorrect:
- A. Remove the weights before changing the client’s bed linens:
This action is incorrect because skeletal traction is applied continuously, and removing the weights can disrupt bone alignment and impair healing. The weights must always remain in place and hang freely to maintain the therapeutic effect of traction. The nurse should carefully change the bed linens without disturbing the traction setup. - B. Instruct the client to use their elbows to reposition:
This is partially correct, but not the best choice. While the client can use their arms to assist with mobility, the more appropriate and safer option is the trapeze bar, which provides additional support and reduces strain on the upper body and leg. - C. Check pressure points every 12 hours:
Pressure points should be checked more frequently than every 12 hours, ideally every 2 hours, to prevent skin breakdown and pressure ulcers. Immobility due to traction increases the risk of pressure injuries, so frequent repositioning and skin assessments are essential.