The patient is brought into the emergency department after ...

[laurencescou]

The patient is brought into the emergency department after falling on the ice in her driveway. She is suspected of having a fractured hip.
 
  After comparing different available types of traction, she anticipates that which of the following will be used?
  a. Bryant's traction
  b. Dunlop's traction
  c. Buck's extension
  d. Gallows traction

Question 2

The patient is admitted to the unit with a stage III pressure ulcer. When the different types of support surfaces are compared, which would be most therapeutic for this patient?
 
  a. Foam mattress
  b. Gel overlay
  c. Air-fluidized bed
  d. Air mattress

[Sweetkitty24130]

Answer to Question 1

C
Buck's extension provides temporary immobilization of a hip fracture until open reduction and internal fixation (ORIF) can be performed. It also reduces muscle spasms, contractures, and dislocations and occasionally is used as an interim treatment for lumbosacral muscle spasms that cause low back pain. Bryant's traction (called Gallows in England) is no longer used because of the risk for gravitational vascular draining of the extremities and the possible tourniquet effect of bandages, triggering vasospasms and avascular necrosis. Dunlop's traction is a simultaneous horizontal form of Buck's extension to the humerus with an accompanying vertical Buck's extension to the forearm.

Answer to Question 2

C
Air-fluidized beds are recommended for use for patients with stage III and stage IV pressure ulcers. Foam support surfaces are recommended to reduce the risk of the patient developing pressure ulcers. Gel overlay support surfaces are recommended for patients who are wheel chair dependent, as well as those who are at risk for developing pressure ulcers. Nonpowered air-filled mattress are recommended for patients who are able to reposition themselves.