The nurse assesses the traction boot for a proper fit. Which observation by the nurse verifies that the patient has a properly fitting Buck's traction boot?
a. The heel rests firmly on the inner heel padding of the boot.
b. The leg slips out of the boot after applying weight.
c. The pain level increases from a level of 6 to 7 on a scale of 10.
d. The traction boot fits snugly without pressure points.
D
The nurse observes a snug fit without prolonged exposure to pressure for leg protection against traction forces; the boot maintains adequate neurovascular function and provides effective trac-tion to the affected region. The nurse should also observe a well-seated heel in the boot and baseline neurovascular assessment findings. Padding at the heel of a traction boot is contraindi-cated because the boot is manufactured to distribute pressure over the heel and leg. If the leg slips out of the boot when weight is applied, the boot is too loose. After application of the trac-tion, pain should decrease.
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