An elderly female is admitted because of a change in her level of sensorium. During the evening shift, she attempts to get out of bed and falls, breaking her left hip. Buck's skin traction is applied to the left leg while waiting for surgery.

Which intervention is most important for the nurse to include in this client's plan of care?

A. Evaluate her response to narcotic analgesia.
B. Assess the skin under the traction moleskin.
C. Place a pillow under the involved lower left leg.
D. Ensure proper alignment of the leg in traction.

The most important nursing intervention in this scenario is to ensure proper alignment of the patient's leg in traction. While all other interventions are also important, correct alignment can directly influence the success of the surgery and recovery process.

Explanation:

The most important intervention for the nurse to include in the plan of care for an elderly female admitted due to a change in her level of sensorium, who fell and broke her left hip, and now has Buck's skin traction applied to her left leg is: ensure proper alignment of the leg in traction.

Proper alignment is crucial to prevent further injury and promote healing. While all of the options listed are important in the comprehensive care of this patient, ensuring proper alignment can directly affect the success of the pending surgical procedure and the overall recovery process. However, the nurse should still evaluate the response to narcotic analgesia, assess skin condition under the traction moleskin, and potentially use a pillow for comfort and additional support.

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