When caring for a patient who is using Buck's traction after a hip fracture, which action can the nurse delegate to unlicensed assistive personnel (UAP)?
a. Monitor the skin under the traction boot for redness.
b. Ensure that the weight for the traction is off the floor.
c. Check for intact sensation and movement in the affected leg.
d. Offer reassurance that hip and leg pain are normal after hip fracture.
ANS: B
UAP can be responsible for maintaining the integrity of the traction once it has been established. Assessment of skin integrity and circulation should be done by the registered nurse (RN). UAP should notify the RN if the patient experiences hip and leg pain because pain and effectiveness of pain relief measures should be assessed by the RN.
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