Question

A nurse is caring for a client who is in buck’s traction. Which of the following actions should the nurse take? a.Check the skin twice daily for manifestations of breakdown b. Ensure the weights are hanging freely c. Monitor capillary refill once per day d. Maintain elevation of the head of the bed

Answer 1

Correct answer:

Option b

Rational:

1. Bucks traction is the type of skin traction here weight must be hanged freely without any disturbances. its very important intervention. So its correct response.

2. Option a: its incorrect. The skin must be observed every 30minutes interval for any Neuro vascular compromise.

3. option c: Capillary refill should be observed for more frequently. So assessing once a day is incorrect.

4. Option d:

Only extremities size should be elevated that will create a counter traction. so its also incorrect.