The client in skeletal traction for a fractured pelvis needs to use the bedpan. Which should the nurse use to prevent complications?
1. Logroll client and maintain skeletal traction.
2. Instruct client to pull up on trapeze to lift hips.
3. Remove weights on the traction and turn client.
4. Warm a metal bedpan before placing under client.
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2. The client has a high risk for skin breakdown because the client must remain on the back, increasing the risk of tissue hypoxia from pressure and bed rest. The nurse instructs the client to pull up on the overbed trapeze to lift the lower torso and create a space for inserting the bedpan, keeping the hips and spine in alignment without disrupting the traction's integrity. This helps to prevent complications of elimination by facilitating use of the bedpan, containing the stool, and preventing exposure of the perineum to stool. The nurse uses this technique for hygiene, linen changes, and to relieve pressure on the back because the client cannot turn and maintain the force of the pelvic traction at the same time.
1. The nurse avoids logrolling the client with a fractured pelvis to maintain alignment of the bone fragments established by the skeletal traction. The nurse wants to keep the bone fragments in alignment because movement of the fragments can extend the regional soft tissue injury and because it promotes healing.
3. The nurse maintains the weights on the pelvic traction to maintain alignment of the bone fragments.
4. Warming the bedpan is a courtesy; however, the primary concern is to maintain alignment of the bone fragments during elimination and to use a fracture pan to faci-litate elimination.
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