Answer :
A reddened area on the sacrum of an elderly patient in Buck's traction indicates a potential pressure ulcer, requiring immediate nursing intervention. Other observations like voiding concentrated urine, a capillary refill time of 3 seconds, intact pedal sensations and pulses, and the patient's lower leg securely in traction do not warrant immediate concern but should be monitored closely.
In the case of an elderly patient in Buck's traction for a proximal femur fracture, the finding that would require immediate nursing intervention would be 1) A reddened area on the sacrum. This is possibly indicative of a developing pressure ulcer, which is a significant concern for immobile patients, particularly the elderly. Pressure ulcers happen due to prolonged pressure on the skin leading to reduced blood flow and tissue necrosis.
The other observations mentioned: 2) voiding concentrated urine, 3) a capillary refill time of 3 seconds and an intact dorsiflexion, sensation and palpable pedal pulses, and 4) a lower leg secured in traction boot with ropes and pulleys and a 5 lb weight hanging freely, do not require immediate nursing intervention as they are not unusual or concerning in this situation.
It is important, however, to keep monitoring these conditions regularly and notify the healthcare provider if any changes occur.
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