High School

A nurse is caring for a client who has a femur fracture with the leg in Buck's traction. Which of the following actions should the nurse take?

A. Position the knot of the rope at the top of the pulley.
B. Apply 6.8 kg (15 lb) of weight for use in traction.
C. Compare bilateral pedal pulses.
D. Remove the weight for 20 minutes if the client reports severe pain.

Answer :

Final answer:

In caring for a client with a femur fracture in Bucks traction, nurses should apply 6.8 kg of weight for traction, check bilateral pedal pulses for normal circulation, and manage pain through medication instead of removing the traction weight.

Explanation:

When a nurse is caring for a client who has a femur fracture with the leg in Bucks traction, they should perform several actions. It's unnecessary to position the knot of the rope at the top of the pulley, but the nurse should apply 6.8 kg (15 lb closed) of weight for use in traction. This is the typical weight used in Bucks traction to provide steady, constant pull and immobilization. However, it's crucial that the nurse should compare bilateral pedal pulses, to check for any abnormalities and ensure proper circulation. Lastly, the nurse should not remove the weight even if the client reports severe pain; instead, pain should be managed with medications provided by a physician.

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