2023 with complete solution
. An older client admitted to the hospital with a hip fracture is placed in Buck's
extension traction. The nurse plans to frequently monitor which specimen item?
a) temperature
b) mental state
c) neurovascular status
d) range of motion ability
c) neurovascular status
- The neurovascular status of the extremity of the client in Buck's extension traction
must be assessed frequently. Older clients are especially at risk for neurovascular
compromise because many older clients already have disorders that affect the
peripheral vascular system. Although the client's temperature is monitored, it is not
specific to the use of Buck's extension traction. Although clients in some types of
traction do become depressed after a few days or weeks, Buck's extension traction is
usually used preoperatively, which typically involves a few hours or 1 to 2 days, at the
most. Range of motion of the involved leg is contraindicated in hip fractures.
. Buck's extension traction is applied to an older client following a hip fracture.
The nurse explains to the client that this type of traction is:
a) traction involving the use of a cast
b) skeletal traction involving the use of surgically inserted pins
c) circumferential traction involving the use of a belt around the body
d) skin traction involving the use of traction attached to the skin and soft tissues
d) skin traction involving the use of traction attached to the skin and soft tissues
- Buck's extension traction is a form of skin traction and involves the use of a belt or
boot that is attached to the skin and soft tissues. The purpose of this type of traction is
to decrease painful muscle spasms that accompany fractures. The weight that is used
as a pulling force is limited (usually 5 to 10 pounds) to prevent injury to the skin. Options
A, B, and C are incorrect descriptions.
. A client has Buck's extension traction applied to the right leg. The nurse plans
which of the following interventions to prevent complications from the device?
a) provide pin care once a shift
b) massage the skin of the right leg with lotion every 8 hours
c) inspect the skin on the right leg at least once every 8 hours
d) release the weights on the right leg for range of motion exercises daily
c) inspect the skin on the right leg at least once every 8 hours
Buck's extension traction is a type of skin traction. The nurse inspects the skin of the
limb in traction at least once every 8 hours for irritation or inflammation. Massaging the