MSNCB Medical-Surgical Nursing Exam Prep

Category - Medical Surgical

While installing Christmas lights on his rooftop, Matt fell from the staircase and sustained a fractured femur. He was placed in a balance skeletal traction with a Thomas splint. To prevent pressure points from occurring around the top of the splint, the most important intervention is to:
  1. Protect the skin with lotion
  2. Keep the client pulled up in bed
  3. Pad the top of the splint with washcloths
  4. Provide a footplate in the bed
Explanation
Answer - B - The most important intervention for preventing pressure points is to keep the client pulled up in bed. The nurse may also pad the top of the splint with soft material, such as cotton wadding, to prevent excoriation. The footplate would prevent foot drop.
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