Mr. Serio, 60 years old, was placed in traction after an open reduction internal fixation surgical procedure. Which of the following activities should the nursing assistant perform for a client in traction?
  1. Add or remove weights as the client wants.
  2. Check the pin sites every shift and as needed.
  3. Make sure the knots in the rope catch on the pulley.
  4. Give range of motion to all joints, including those immediately proximal and distal to the fracture, every shift.
Explanation
Answer: B - The nursing assistant should check the pin sites every shift and as needed and report to the nurse for signs of redness, drainage, or odors. Adding or removing of weights needs physician’s orders. The nursing assistant should not otherwise manipulate the traction set-up.
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