ATI PN Nursing Care of Children 2020 with NGN II Proctored Exam
A nurse is assisting with the care of an adolescent client who is in skeletal traction for the treatment of a fractured femur. Which of the following actions should the nurse take?
Explanation & Rationale
Choice A reason: Reducing fiber intake is not necessary for a client in skeletal traction. Maintaining a balanced diet, including fiber, is important for overall health. Choice B reason: The nurse should not lift the traction weights off the floor. The weights must hang freely to provide the necessary traction. Choice C reason: Performing passive range-of-motion exercises helps prevent stiffness and muscle atrophy in the affected extremity. This is an important nursing intervention for a client in skeletal traction. Choice D reason: Applying protective padding to the pin sites is essential to prevent pressure and irritation. However, this action alone does not address the need for range-of-motion exercises.
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