The nurse places the patient in traction. Expected outcomes would include which of the following?
a. Alignment of fracture fragments with formation of callus within 24 hours
b. Verbalization of pain level as a "4" on a scale of 0 to 10
c. Verbalization of immediate relief of symptoms
d. Distal skin tissue becoming cooler, with capillary refill greater than 3 seconds
B
Expected outcomes would include verbalization of increased comfort after traction application and rating of pain as 4 or lower on a scale of 0 to 10 since injured tissues and bone are stabilized. Evidence of callus may not become apparent for 7 to 10 days or longer. Sufficient time in traction (varying from 1 to 10 or more days) elicits symptom relief. It takes time for inflammation to decrease and tissues to regain more normal function. Neurovascular status should remain stable. Distal skin tissue remains warm and of a normal color with capillary refill of 3 seconds or less.
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