For which of the following immobility related complications is the client in traction at risk?
Fractures are broken bones. Fractures can occur from trauma such as motor vehicle accidents, age-related conditions like osteoporosis, or from overuse such as stress fractures in athletes. Show
There are also different kinds of fractures. Here are some examples:
The Nursing ProcessNurses may care for patients with fractures in many settings such as emergency departments, urgent care centers, or inpatient units following surgical repairs. Fractures can be minor such as a broken toe only requiring splinting or major such as a hip, neck, or femur fracture requiring surgery, inpatient care, and months of recovery. Nurses assist with pain control, overcoming activity limitations, preventing further complications, and discharge planning. Nursing Care Plans Related to FracturesAcute Pain Care PlanAcute pain with a fracture results from injury to the surrounding tissues, muscles, and nerves. Nursing Diagnosis: Acute Pain Related to:
As evidenced by:
Expected Outcomes:
Acute Pain Assessment1. Assess for pain. 2. Monitor vital signs. 3. Assess pain relief. Acute Pain Interventions1. Administer analgesics. 2. Provide alternative comfort measures. 3. Support the injured area. 4. Instruct on medications at discharge. Risk For Constipation Care PlanOpioids used for pain will cause constipation as they slow down gastric emptying and peristalsis. Untreated constipation can have uncomfortable and serious consequences. Nursing Diagnosis: Risk For Constipation Related to:
Note: A risk diagnosis is not evidenced by signs and symptoms as the problem has not occurred yet and the goal of nursing interventions is aimed at prevention. Expected Outcomes:
Risk For Constipation Assessment1. Auscultate bowel sounds. 2. Assess the patient’s normal bowel pattern. Risk For Constipation Interventions1. Administer stool softeners or laxatives. 2. Educate on the risk and prevention of constipation. 3. Increase fluids. 4. Increase mobility as tolerated. Impaired Physical Mobility Care PlanFractures impair the ability to ambulate, complete ADLs, and increase the risk of falls and other injuries. Which principle applies to the client in traction quizlet?Which principle applies to the client in traction? Skeletal traction is never interrupted. Skeletal traction is applied directly to the bone and is never interrupted. To be effective, the weights must hang freely and not rest on the bed or floor.
What is the procedure for applying traction to a patient?It involves applying splints, bandages, or adhesive tapes to the skin directly below the fracture. Once the material has been applied, weights are fastened to it. The affected body part is then pulled into the right position using a pulley system attached to the hospital bed.
Which intervention is appropriate for a client with skeletal traction?Skeletal traction is applied. Which of these priorities should the nurse include in the care plan? Maintain the client in a flat, supine position at all times. Remove traction weights for 20 minutes every two hours.
Which purpose would the nurse explain to a client as the reason for using buck traction before surgery?The application of traction before surgery is thought to relieve pain and make the subsequent surgery easier. Where traction is not used, the injured limb is usually placed on a pillow and the patient encouraged to adopt a position of greatest comfort.
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