04/28 Qod

  1. Answers to other question were posted on that post to decrease confusion.

    A client suffers a fracture after jumping from the 2nd story of a building during a fire. The pt is placed in skeletal tracton before open reduction and internal fixation is scheduled. The pt keeps slipping down in the bed. To alleviate this problem the RN should:
    1. Elevate the foot of the bed.
    2. Shorten the rope on the weights
    3. Release the traction and reposition the client
    4. Move the client toward the head of the bed every two hours.
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    About Aneroo

    Joined: Feb '04; Posts: 1,782; Likes: 617
    from US
    Specialty: Cath Lab, OR, CPHN/SN, ER

    9 Comments

  3. by   letina
    I'd say the answer is (1) - elevate the foot of the bed to create countertraction
  4. by   Mandarella
    1
  5. by   grinnurse
    #1
  6. by   Altra
    Quote from Aneroo
    Answers to other question were posted on that post to decrease confusion.

    A client suffers a fracture after jumping from the 2nd story of a building during a fire. The pt is placed in skeletal tracton before open reduction and internal fixation is scheduled. The pt keeps slipping down in the bed. To alleviate this problem the RN should:
    1. Elevate the foot of the bed.
    2. Shorten the rope on the weights
    3. Release the traction and reposition the client
    4. Move the client toward the head of the bed every two hours.
    Umm ... client suffered a fracture of WHAT? Hip?
  7. by   Aneroo
    Oops! Sorry
    It's a left femur fracture
  8. by   Iluvhospice
    I concur - #1.
  9. by   Pocamom
    1 and 4. But I choose 1. :uhoh21:
  10. by   Altra
    Quote from Aneroo
    Oops! Sorry
    It's a left femur fracture
    Thanks for the additional info

    I think I'm going with #2 on this one.
  11. by   Aneroo
    Answers:
    1- Correct. This provides slight countertraction, which will prevent slipping down in bed.
    2. This will have no effect.
    3. This is unsafe. An interrruption in the traction may result in loss of bone alignment.
    4. This will not alleviate the cause of the problem. It may be necessary more often than every two hours.

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