In Caring for a Client in Skeletal Traction with a Nursing

question 30

Multiple Choice

In caring for a client in skeletal traction with a nursing diagnosis of Risk for Injury related to traction, the nurse should take special care to

• A) carefully inspect pin sites every other day to assess for pin site infection.
• B) encourage the client to assume a position of comfort to reduce the risk of pressure ulcers.
• C) knot ropes between the client and pulley to prevent weights from touching the floor.
• D) position weight ropes to ensure that the weights hang freely from pulleys.

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Definitions:

Intermittent Suction

A method of applying and releasing suction at intervals to drain bodily fluids, often used in medical settings.

Level Of Consciousness

A measure of a person's wakefulness, awareness, and responsiveness to stimuli and their environment.

Tactile Stimulation

The use of touch or physical contact as a means to stimulate and promote sensory responses and emotional well-being.

Lethargic

A state of fatigue, sluggishness, or a lack of energy, which can be a symptom of various medical conditions or the result of physical overexertion.