A client has Buck's extension traction applied to the right leg. The nurse would
plan which of the following interventions to prevent complications of the device?
a. Give 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 daily range-of-motion exercises.
Answer: C
Rationale: 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 skin with lotion is not indicated. The nurse never releases the weights of
traction unless specifically ordered by the physician. There are no pins to care for with
skin traction.
bucks traction
is a running skin traction that can be used temporarily to immobilize afracture of the
hip/femur until it is possible to do surgery. It can also beused to relieve muscle spasms
in the lower back, to preventcontracture after computation, or to realign the vertebrae in
a clientwith scoliosis.
•the leg is wrapped with an elastic roller bandage or tape. Traction isapplied through a
weight attached to a spreader bar below the foot. Afoam boot may also be used. The
traction pull is toward the pulley atthe bottom of the bed.
Care of patients with Buck's Traction:
Ensure skin integrity by avoiding pressure on heel, dorsum or foot, fibularhead, or
malleolusMaintain counteraction by elevating foot of bed or keeping head of bed
flatEncourage independence with use of trapeze
traction
(orthopedics) the act of pulling on a bone or limb (as in a fracture) to relieve pressure or
align parts in a special way during healing
THR
Total Hip Replacement; older animals w/osteoarthritis; replaces the head of the femur
where it joins the hip with a prosthesis; sterility** of utmost importance
amputation
Partial or complete removal of a limb for a variety of reasons, including tumors,
gangrene, intractable pain, crushing injury, or uncontrollable infection.
amputaion BKA
1. hv pt lie on stomach for 30mins to help prevent flexion contractures leading to
problems w/ prosthesis
BKA nursing intervention (recovery nurse)
1. Keep a lrg tourniquet at pts bed side
pt w/ BKA w/ type 2-diabetis
make sure assess pts nutriont status to ensure proper wound healing:
-balance diet
-protein