M.C. is placed in Buck's traction and sent to the orthopedic unit until an open reduction and internal
fixation (ORIF) can be scheduled.
Hydrocodone-acetaminophen (Lortab 2.2/500) q4h prn is ordered for
severe pain with orders for acetaminophen (Tylenol) 650 mg q4h prn, and tramadol (ultram) 100 mg q6h
prn, for mild and moderate pain, respectively. She is placed on enoxaparin (Lovenox) 30 mg subcut bid.
M.C.'s cardiovascular, pulmonary, and renal status is closely monitored.
As you assess the traction, you check the setup and M.C.'s comfort. Which of these are
characteristics of Buck's traction? Select all that apply.
a. The weights can be lifted manually as needed for comfort.
b. Weights need to be freely hanging at all times.
c. Pin site care is an essential part of nursing management for Buck's traction.
d. A Velcro boot is used to immobilize the affected leg and connect to the weights.
e. Weights used for Buck's traction are limited to 5 to 10 pounds.
b, d, e
Buck's traction for a hip fracture will use a Velcro boot to immobilize the affected leg and connect
to the weights; the weights are limited to 5 to 10 pounds and need to be freely hanging at all times.
The weights should never be manually lifted. Buck's traction is skin traction and does not involve the
use of surgically inserted pins.
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