College

A client with a fractured femur is placed in Buck's traction and reports pain despite analgesic administration. The nurse should:

A. Administer a stronger analgesic.
B. Reposition the client.
C. Assess the neurovascular status of the affected leg.
D. Elevate the foot of the bed.

Answer :

Final answer:

In the case of a patient in Buck's traction complaining of pain, the nurse should first assess the neurovascular status of the affected leg to rule out complications like compartment syndrome.

Explanation:

When a client with a fractured femur who is placed in Buck's traction reports pain despite analgesic administration, the nurse should first: C. Assess the neurovascular status of the affected leg. This assessment includes checking the five Ps: Pain, Pulse, Pallor, Paresthesia, and Paralysis. This is critical because it could indicate complications such as compartment syndrome, which is a medical emergency. Only after ruling out these complications or other issues should the nurse consider other options, such as repositioning the client, administering a stronger analgesic, or adjusting the position of the bed.