A pediatrician orders Russell traction for a 12-year-old patient with Legg-Calvé-Perthes disease. Which interventions are appropriate for the nurse to include in the care plan for this patient? (Select all that apply.)
A.
Bony areas are massaged frequently.
B.
Child is lying in a supine position.
C.
Hip is flexed and abducted.
D.
Skin is inspected every 12 hours.
E.
The child uses a trapeze to move.
ANS: B, C, E
Russell traction is a type of skin traction used to stabilize femur fractures until a callus forms or to correct bone deformities or contractures, as in Legg-Calvé-Perthes disease. With this type of traction, the child lies supine with hip flexed, abducted, and immobile. The child can help with repositioning using a trapeze above the bed. The nurse should assess the skin more often than every 12 hours and should not massage bony prominences.
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