Practice Question
A nurse is caring for a client who has skeletal traction on their leg. Which of the following actions should the nurse take?
Answer Choices:
Correct Answer:
Monitor pin site each shift.
Rationale:
💠 Skeletal traction involves metal pins inserted into bone, putting clients at high risk for pin-site infection.
💠 Monitoring each shift ensures early identification of drainage, redness, or loosening.
💠 Early detection prevents progression to osteomyelitis, a severe complication.
💠 Pin-site care is essential to maintain sterility and traction stability.
💠 Frequent checks ensure traction remains aligned and effective.
Remove weights for ADLs
💠 Weights must remain continuous; removing them disrupts alignment.
Check neurovascular status twice daily
💠 Must be checked every 1–2 hours, not twice daily.
Place weights on floor
💠 Weights must hang freely; placing them on the floor eliminates traction.
Want to practice more questions like this?
This question is from ATI RN Adult Medical Surgical 2023 which contains 83 questions.
More Questions from This Exam
A nurse is caring for a client who is 1 day postoperative following a femoral popliteal bypass graft. The nurse notes a diminished pedal pulse while assessing the right leg. Which of the following actions should the nurse take?
Answer Choices:
A nurse is preparing to administer a unit of packed RBCs to a female client who has a hemoglobin of 7.2 g/dL (12 to 16 g/dL). Which of the following actions should the nurse take?
Answer Choices:
A nurse is assessing a client who is postoperative following abdominal surgery. Which of the following findings indicates a possible wound infection?
Answer Choices:
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI MedSurg
- Answer Choices: 4