The nurse is performing an assessment on the patient who is in bilateral Buck traction. Which finding indicates the need to reposition the patient?
a. The patient's heels are not touching the surface of the mattress.
b. The elastic bandages need to be re-wrapped.
c. The patient's feet are against the foot-board.
d. The weights are hanging free.
C
When the patient's feet are against the footboard, the traction is ineffective. The heels should be off the surface of the mattress to reduce the threat of pressure ulcer. The weights should be hanging free.
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