A client who was in a motor vehicle collision was admitted to the hospital and the right knee was placed in skeletal traction. The nurse has documented this nursing diagnosis in the client's medical record: "Potential for impairment of skin integrity related to immobility from traction." Which nursing intervention is indicated based on this diagnosis statement?

A) Release the traction q4h to provide skin care.
B) Turn the client for back care while suspending traction.
C) Provide back and skin care while maintaining the traction.
D) Give back care after the client is released from traction.


Answer: C) Provide back and skin care while maintaining the traction.

Nursing

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