Answer :
As an older client admitted to the hospital with a hip fracture is placed in Buck's extension traction. The nurse will plans to frequently monitor the neurovascular status. The Option C is correct.
What is an extension traction?
Buck's extension traction is a type of skin traction that is applied to the lower extremity to reduce muscle spasms and align the fractured bone. The traction are applied by attaching a weight to a cord that is connected to a boot or a splint that wraps around the leg. The weight pulls on the leg and creates tension on the skin and soft tissues.
The nurse should thus monitor the neurovascular status of the affected leg frequently to assess for signs of impaired blood flow or nerve damage. These signs include:
- Pain, pallor, pulselessness, paresthesia, and paralysis (the five Ps)
- Changes in skin color, temperature, or sensation
- Swelling, blisters, or skin breakdown
- Decreased capillary refill or toe movement
If the he/she detects any of these signs, the nurse should report them to the provider and adjust the traction as ordered. The nurse should also elevate the leg slightly and avoid placing pillows or blankets under the leg, as these can interfere with the traction and cause pressure on the skin.
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