The nurse prepares to place the client in skin traction. Which is the nurse's main concern before applying the traction?
1. Obtain informed consent from client.
2. Verify a completed client assessment.
3. Prepare a sterile field for pin insertion.
4. Construct overhead frame and pulleys.
2
2. The priority nursing intervention before the client goes into skin traction is to en-sure the client assessment is completed because the nurse relies on baseline data col-lected 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 client's baseline status.
1. The provider provides informed consent to the client because the provider performs the procedure.
3. The nurse prepares a sterile field for pin insertion for application of skeletal trac-tion.
4. Constructing the overbed frame is generally a function for technical personnel; if the nurse must be involved, frame construction can wait until after client assessments are complete.
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