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.
D
The weights must hang freely to ensure traction. Knotting the ropes between the client and the pulley causes distraction. The client must be kept in anatomic alignment to prevent poor union. Pin sites should be checked more often than every other day.
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