Answer :
Final Answer:
The nurse should maintain the Buck's traction, assess skin and circulation, and administer pain medication.
Explanation:
Buck's traction is a method of immobilizing and aligning a fractured hip or femur before surgery. It is essential to maintain the traction to prevent further injury and ensure proper healing. Here are the specific actions the nurse should take:
Traction Maintenance: The nurse should regularly check the alignment of the client's hip to ensure that the bones remain properly aligned. Misalignment can lead to complications or impede the healing process. Additionally, the nurse should inspect the ropes, pulleys, and weights to ensure they are functioning correctly and that the prescribed amount of weight is being applied.
Skin and Circulation Assessment: The nurse should assess the skin in the area where the traction is applied, as well as the circulation in the affected limb. Pressure sores can develop if the skin is not adequately cared for, and reduced circulation can lead to complications such as ischemia or compartment syndrome. Proper padding and repositioning should be performed to prevent skin breakdown.
Pain Management: Fractured hips can be incredibly painful. The nurse should administer pain medication as prescribed to ensure the client's comfort. Adequate pain control is essential not only for the client's well-being but also to facilitate deep breathing, mobility, and overall recovery.
Communication and Education: The nurse should communicate regularly with the client to assess their comfort level and address any concerns. Additionally, the client should be educated about the purpose of Buck's traction, the importance of maintaining alignment, and how to use assistive devices for mobility while in traction.
By performing these actions, the nurse can help ensure that the client's fractured hip heals properly and that they are as comfortable as possible during the preoperative period.
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