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    Hesi lpn exit proctored examQuestion 118
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    Hesi lpn exit proctored exam

    In caring for a client with Buck's traction, the practical nurse (PN) observes that the prescribed amount of weights are hanging freely and the traction rope is on the pulley. Which action should the PN implement next?

    Explanation & Rationale

    A. Document that the Buck's traction is being maintained: The weights are hanging freely and the rope is properly aligned on the pulley, indicating that Buck’s traction is functioning as prescribed. Accurate documentation confirms the traction setup is effective and the client’s treatment is being properly maintained. B. Adjust the traction rope so it is free from the pulley: The rope should remain on the pulley to maintain continuous traction. Adjusting it unnecessarily could disrupt alignment, alter the amount of force applied, and compromise immobilization of the affected limb. C. Place the weights on blocks to increase their stability: Weights should never rest on any surface, as doing so removes the continuous pulling force required for effective traction. Interfering with the weights’ free-hanging position can reduce traction effectiveness and cause complications. D. Contact the orthopedic technician to adjust the traction: Since the traction setup is correct, there is no need to call for adjustment. The PN should continue to monitor the system for alignment, tension, and client comfort, documenting findings as part of routine care.

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