Answer :
The practical nurse (PN) should implement the action of adjusting the traction rope so that it is free from the pulley in the care of a client with Buck's traction.
When observing that the prescribed amount of weights is hanging freely and the traction rope is on the pulley, the PN should take action to adjust the traction rope. The purpose of Buck's traction is to provide traction and immobilization to a limb, and it is crucial to ensure that the traction is being applied correctly.
The proper setup of Buck's traction involves the weights hanging freely and the traction rope running smoothly through the pulley. However, if the traction rope is caught on the pulley, it may impede the effectiveness of the traction or cause discomfort to the client.
By adjusting the traction rope so that it is free from the pulley, the PN ensures that the traction is being maintained correctly and allows for smooth movement of the traction rope. This action helps to optimize the effectiveness of the traction and ensures the client's comfort and safety.
While it is important to document the maintenance of Buck's traction, contacting the orthopaedic technician to adjust the traction or placing the weights on blocks to increase stability are not the appropriate next steps in this situation. The immediate action should be to adjust the traction rope to maintain proper function and alignment of the traction setup.
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