Answer :
During the application of Buck's traction, the nurse should assess the client's neurovascular status at least every hour for the first 24 hours and then every 2 to 4 hours thereafter.
When a nurse is setting up Buck's traction on an orthopedic client, it is important to assess the circulation to the affected leg regularly. Buck's traction is a type of traction used to stabilize a fracture or dislocation of the femur (thigh bone) and can also be used to treat hip fractures.
The goal of this traction is to reduce pain, prevent muscle spasms, and immobilize the affected area.This assessment should include checking the client's pulse, color, temperature, sensation, and movement in the affected leg. The nurse should also assess the client's pain level and the position of the affected leg to ensure that it is not twisted or turned in a way that may compromise circulation.
If the client complains of numbness or tingling in the affected leg or if the nurse notes a change in the client's pulse or color of the leg, the traction should be immediately released and the healthcare provider should be notified.
This could indicate that the traction is too tight and is compromising circulation to the leg. The nurse should also ensure that the client is not experiencing any signs of compartment syndrome, which can occur when pressure builds up in the muscles, causing a decrease in circulation.
In summary, when a nurse is setting up Buck's traction on an orthopedic client, it is important to assess circulation to the affected leg regularly. The nurse should check the client's pulse, color, temperature, sensation, and movement at least every hour for the first 24 hours and then every 2 to 4 hours thereafter. Any changes in neurovascular status should be immediately reported to the healthcare provider.
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