Answer :
Final answer:
For a patient with a femur fracture in Bucks traction, the nurse should compare bilateral pedal pulses to ensure proper blood flow and not remove the weights or reposition the rope's knot without a physician's order.
Explanation:
When a nurse is caring for a client with a femur fracture in Bucks traction, there are specific guidelines and procedures that must be followed to ensure proper healing and patient safety. The nurse should compare bilateral pedal pulses to assess for adequate blood flow to the extremities and detect any potential complications such as a vascular injury or a deep vein thrombosis. The other options provided are not typically recommended. The rope's knot should not be at the top of the pulley, but rather away from the pulley to prevent slippage. The weight for the traction (6.8kg or 15lb) should be prescribed by the physician and not arbitrarily applied. Lastly, the nurse should never remove the weights unless instructed by a physician, even in the event of severe pain; the nurse should seek alternative methods to manage the patient's pain without disrupting the traction.