The nurse cares for a client diagnosed with a right hip fracture being treated with Buck's traction using a foam boot. The nurse observes an LPN/LVN replacing the foam boot after morning care. Which observation, if made by the nurse, requires an intervention?

If the nurse observes that the foam boot in Buck's traction is not correctly applied after an LPN/LVN replaces it, intervention is necessary to prevent complications such as pressure sores, respiratory failure, or deep vein thrombosis (DVT).

Explanation:

The observation that requires an intervention by the nurse when an LPN/LVN replaces the foam boot after morning care would be if the boot is not applied correctly, leading to possible complications. It is imperative in Buck's traction therapy to ensure that the foam boot is properly secured. Incorrect placement can lead to inadequate traction, skin breakdown, or even alter the position of the fracture, which can jeopardize healing and contribute to complications such as pressure sores, respiratory failure, or deep vein thrombosis (DVT), potentially resulting in a pulmonary embolism. Nurses must ensure that post-procedure care, including the correct application of traction boots, aligns with the surgeon and anesthesia professional's recovery plan for the client. If any discrepancy is noted in the placement or application of the foam boot, an immediate intervention by the nurse is necessary to correct the issue and prevent patient harm.