A patient is prescribed skin traction for a fractured femur. Which nursing observation shows that the traction is being maintained correctly?
Correct answer: B. The ropes remain aligned with the pulleys
- A. The weights rest on the floor beside the bed
- B. The ropes remain aligned with the pulleys
- C. The knots touch the pulley during movement
- D. The affected leg is placed across the midline
Explanation
The ropes should move freely through aligned pulleys, and the weights must hang freely without touching the floor or bed. Misalignment or resting weights reduces the prescribed traction force and may worsen the fracture position.
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About Orthopaedic Nursing
Covers fractures, dislocations, arthritis, osteoporosis, joint replacement, spinal disorders and complications of immobility. It includes neurovascular assessment, traction and cast care, mobility assistance, pain control, prevention of pressure injuries and deep vein thrombosis, and the difference between compartment syndrome and ordinary postoperative swelling.
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