Answer :
The most important intervention for the nurse to perform when caring for a client with a hip fracture in Buck's traction is regular assessment of neurovascular status, providing pain management, and educating the client about care and management of Buck's traction.
The most important intervention for the nurse to perform when caring for a client with a hip fracture who has just been placed in Buck's traction is to regularly assess and monitor the client's neurovascular status. This involves checking the client's circulation, sensation, and movement in the affected leg. The nurse should also ensure that the weights are hanging freely and the traction is properly aligned to maintain proper alignment of the fractured hip.
Additionally, the nurse should provide appropriate pain management to the client to ensure their comfort. This can include administering pain medications as prescribed, applying cold packs to reduce swelling, and utilizing non-pharmacological pain relief techniques such as positioning and relaxation exercises.
Lastly, the nurse should educate the client about the care and management of Buck's traction, including how to report any changes in their condition or any signs of complications such as infection or pressure ulcers. Regular turning and repositioning should also be done to prevent complications.
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Final answer:
In caring for a client with a hip fracture in Buck's traction, the nurse should regularly check the patient’s skin, encourage deep breathing, monitor vitals, prevent urinary tract infections, and ensure key concerns relating to the patient's recovery are discussed with the surgical team.
Explanation:
The most important intervention a nurse should perform for a client with a hip fracture who has just been placed in Buck's traction is to regularly check their skin for integrity and alertness to prevent pressure sores, which could lead to infections. Another important aspect of care is to monitor the patient's respiratory condition and encourage deep breathing to avoid pneumonia, which can stem from immobility. Furthermore, regularly checking vitals and signs of urinary tract infection from catheterization reduces the risk of further complications. Lastly, the nurse, working closely with the surgeon and anesthesia professional, need to regularly review key concerns related to the patient's recovery.
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