To maintain proper alignment of a client's Buck's traction, the nurse performs the following interventions:
A)
Ensure the weights hang freely over the end of the bed.
B)
Lift the weights when assisting client to move up in bed.
C)
Keep the leg in traction externally rotated.
D)
Instruct the client to do ankle rotation exercises.
A
Explanation:
A)
The weights should be hanging freely without touching the floor or bed. Lifting the weights breaks the traction. The client should be moved up in bed allowing weights to freely move with client. The leg should be kept in straight alignment. Ankle exercises could cause the leg to go out of alignment.
Application
Implementation
Physiological Integrity: Reduction of Risk Potential
B)
The weights should be hanging freely without touching the floor or bed. Lifting the weights breaks the traction. The client should be moved up in bed allowing weights to freely move with client. The leg should be kept in straight alignment. Ankle exercises could cause the leg to go out of alignment.
Application
Implementation
Physiological Integrity: Reduction of Risk Potential
C)
The weights should be hanging freely without touching the floor or bed. Lifting the weights breaks the traction. The client should be moved up in bed allowing weights to freely move with client. The leg should be kept in straight alignment. Ankle exercises could cause the leg to go out of alignment.
Application
Implementation
Physiological Integrity: Reduction of Risk Potential
D)
The weights should be hanging freely without touching the floor or bed. Lifting the weights breaks the traction. The client should be moved up in bed allowing weights to freely move with client. The leg should be kept in straight alignment. Ankle exercises could cause the leg to go out of alignment.
Application
Implementation
Physiological Integrity: Reduction of Risk Potential
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