Answer :
Final answer:
Nurses should monitor neurovascular status, ensure weights in Buck's traction are hanging freely, provide skin care, maintain proper positioning, and offer psychological support to the child and family during the treatment of a fractured tibia.
Explanation:
When caring for a child in Buck's traction, nurses must take several important actions to ensure proper healing and comfort. First, they should regularly assess the child's neurovascular status, checking for any changes in sensation, temperature, color, or pulses distal to the fracture site. It is crucial to monitor for signs of impaired circulation or nerve damage.
Secondly, the nurse should ensure that the weights are hanging freely and the pulleys are functioning correctly. This ensures that the appropriate amount of force is applied to the tibia to aid in proper alignment and healing of the bone.
Additionally, the nurse should provide regular skin care to prevent pressure ulcers or irritation where the traction is applied. Suspending the broken limb by using pulleys and weights in traction is part of maintaining the right alignment and decreasing muscle spasms.
Maintaining proper positioning and alignment of the limb is critical to prevent deformity. Lastly, as part of psychological support, nurses should communicate effectively with the child and family, explaining procedures and providing comfort during the healing process.