The nurse prepares to place the patient in skin traction. Which is the nurse's main concern before applying the skin traction?
a. Obtain informed consent from patient.
b. Verify that the patient assessment is com-plete.
c. Prepare a sterile field for pin insertion.
d. Assemble the overhead frame and pulleys.
B
The priority nursing intervention before the patient goes into skin traction is to ensure that the patient assessment is completed because the nurse relies on baseline data collected before the procedure to compare with postprocedure neurovascular and skin assessments. Without baseline data, the nurse cannot determine whether assessment findings after application of skin traction are new findings or the patient's baseline status. The healthcare provider provides informed con-sent to the patient because he or she performs the procedure. The nurse prepares a sterile field for pin insertion for application of skeletal traction, not skin traction. Assembling the overhead frame is generally a function performed by technical personnel. If the nurse must be involved, frame assembly can wait until after patient assessments are complete.
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