Which type of traction uses skin traction on the lower leg and a ...

[codyclark]

Which type of traction uses skin traction on the lower leg and a padded sling under the knee?
 
  a. Dunlop c. Russell
  b. Bryant's d. Buck's extension

Question 2

Four-year-old David is placed in Buck's extension traction for Legg-Calv-Perthes disease. He is crying with pain as the nurse assesses that the skin of his right foot is pale with an absence of pulse. What should the nurse do first?
 
  a. Notify the practitioner of the changes noted.
  b. Give the child medication to relieve the pain.
  c. Reposition the child and notify the physician.
  d. Chart the observations and check the extremity again in 15 minutes.

[krakiolit]

Answer to Question 1

ANS: C
Russell traction uses skin traction on the lower leg and a padded sling under the knee. The combination of longitudinal and perpendicular traction allows realignment of the lower extremity and immobilizes the hips and knees in a flexed position. Dunlop traction is an upper extremity traction used for fractures of the humerus. Bryant's traction is skin traction with the legs flexed at a 90-degree angle at the hip. Buck's extension traction is a type of skin traction with the legs in an extended position. It is used primarily for short-term immobilization, before surgery with dislocated hips, for correcting contractures, or for bone deformities such as Legg-Calv-Perthes disease.

Answer to Question 2

ANS: A
The absence of a pulse and change in color of the foot must be reported immediately for evaluation by the practitioner. Pain medication should be given after the practitioner is notified. This is an emergency condition; immediate reporting is indicated. The findings should be documented with ongoing assessment.

[codyclark]

Thank you

[krakiolit]

Happy to help you