1.2 Bucks Traction & Postoperative Care PDF

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Summary

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Description

Buck’s Traction & Postoperative Care Med Surg: Musculoskeletal

Buck’s Traction

KEY POINTS

KAPLAN

Weights: free hanging at all times Traction ropes TIGHT! NOT loose NOT resting “on bed or floor” Reposition: hold weights Used short term before surgery realign hip & femur fractures, to stop muscle spasms. This dev pulls bones back into place with hanging weights.

Keep limb in neutral position Assess for skin breakdown Neuro checks on limb: P,M,S,C Supine position (flat) NCLEX TIP DO NOT elevate HOB

The nurse provides care for the client in Buck’s traction. Which is the most important nursing action to maintain effective traction?

SAUNDER’S Q1: Skin traction... The nurse should monitor which priority finding in this client? Signs of skin breakdown Q2: A client has Buck's extension traction applied to the right leg. Which intervention should the nurse plan to prevent complications of the device? Traction ropes rest against the footboard Q3: Client in traction ... The nurse ... should include which action in the plan? Check the weights to ensure that they are off the floor

Over 25 degrees

KAPLAN A nurse is caring for a client who is postoperative total hip arthroplasty. Which of the following laboratory values should the nurse report to the provider?

KEY WORDS

Hip & Femur Surgery ● Total hip replacement ● ORIF “open reduction

internal fixation”

PRIORITIZE the order 1. Bleeding 2. Infection

1. Bleeding NCLEX TIP

HESI Which interventions will the nurse include in postoperative nursing care for a patient who has undergone a hip fracture repair?

Hemoglobin

Wound assessment with special attention to pain and to color, amount,

Normal 12 - 18 Risky

8 - 11

Below

7

Saunder’s

WBC

17,000

Hemoglobin Less than 7 = HEAVEN

Skeletal traction ... When evaluating the pin sites, the nurse would be most concerned with which finding? Thick, yellow drainage from the

Report to HCP!! Monitor pulses distal to injury Hypotension & tachycardia

KAPLAN

2. Infection

Total hip arthroplasty … Following surgery, it is most important to place the patient in which position?

Elevated WBC NCLEX TIP (norm: 5,000 - 10,000) Assess drainage: color, amount & odor Perform pin care with a sterile solution

HESI Positioning Education Total hip arthroplasty: NCLEX TIP Abducted legs: Place a pillow between the legs Kaplan NO crossing legs NO leaning forward (NO tying shoes) NO sitting in chairs (90 degree angle)

Saunder’s ... after internal fixation of a fractured right hip … which method to reposition the client? A pillow to keep the right leg abducted during turning

The nurse is providing care for an elderly patient who has an internal fixation device after surgery for a hip fracture. Which interventions should the nurse implement while providing care for this patient? Select all that apply. Turn the patient every 2 hours Provide assistive devices for walking, such as a walker Instruct the patient not to cross legs Elevate the head of the bed to 45-degrees...