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    RN Comprehensive Predictor 2026 Proctored Exam

    A nurse is planning care for a client who has a left hip fracture and is in Buck's traction. Which of the following interventions should the nurse include in the plan of care?

    Explanation & Rationale

    Rationale: A. Buck’s traction uses a boot or foam device applied to the affected limb, which can place pressure on the skin and lead to breakdown. Regular skin inspection (at least every 8 hours or per facility protocol) is essential to assess for pressure injuries, redness, or irritation and to ensure proper fit and alignment of the device. B. Neurovascular assessment (including circulation, sensation, movement, color, temperature, and pulses) should be performed more frequently—typically every 1 to 4 hours in an acute setting. Waiting 12 hours is too infrequent and may delay detection of complications such as compartment syndrome or impaired perfusion. C. Traction must remain continuous to maintain proper alignment and reduce muscle spasm and pain. Removing traction can worsen injury, cause misalignment, and increase discomfort. Alternative methods such as a bedpan or fracture pan should be used instead. D. Traction weights must hang freely and must never rest on the bed or floor. If the weights are touching a surface, the traction force is interrupted, reducing effectiveness and potentially compromising alignment of the fractured hip.

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