A nurse is planning the care of a patient who will require a prolonged course of skeletal traction. When planning this patient's care, the nurse should prioritize interventions related to which of the following risk nursing diagnoses?
A) Risk for Impaired Skin Integrity
B) Risk for Falls
C) Risk for Imbalanced Fluid Volume
D) Risk for Aspiration
Ans: A
Feedback:
Impaired skin integrity is a high-probability risk in patients receiving traction. Falls are not a threat, due to the patient's immobility. There are not normally high risks of fluid imbalance or aspiration associated with traction.
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