NCLEX-RN

Category - Physiological

A client whose left leg is in skeletal traction complains of severe pain in the left leg. The nurse should do which of the following actions first?
  1. Remove the traction weight
  2. Provide pin care
  3. Assess the client’s alignment
  4. Notify the physician
Explanation
Answer: C - A client in skeletal traction who complains of severe leg pain should be first assessed for the need of realignment. If realignment is done and the pain continues, the nurse should report it to the physician. Medications can be given once the cause of pain is identified. Pin care does not address the client’s needs.
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