Difficulty: Medium
Average Score: 75%
Simulated
A nurse is caring for a client who has skeletal traction for a fracture of the lower extremity. Which of the following actions should the nurse take?
Correct answer
C
Rationale
Inspecting pin sites daily for infection (redness, swelling, pus) allows early intervention, preventing complications like osteomyelitis. A. Removing weights disrupts traction, risking misalignment. B. Hydrogen peroxide damages tissue; saline is preferred. D. Checking ropes is secondary to infection monitoring.