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Answer :
When a client's foot is against the bed's footboard while Buck's skin traction is in place, the nurse should wedge a pillow, make necessary adjustments, and ensure proper positioning to maintain comfort and maximize the traction's effectiveness.
When the nurse observes that a client's foot is against the bed's footboard, the most appropriate action would be to wedge a pillow between the client's foot and the footboard. This is important when Buck's skin traction has been prescribed for a client with a femoral fracture.
Buck's skin traction is prescribed for patients with hip or femur fractures. It helps immobilize the fracture area and reduces discomfort by applying a longitudinal pull on the leg. It can be used for a short time during the healing process or as a long-term treatment plan.
The nurse must note the client's foot position to ensure proper placement and comfort. If the client's foot is against the bed footboard, it can cause discomfort and compromise the effectiveness of the traction. Therefore, wedging a pillow between the client's foot and the footboard is the appropriate action. Additionally, the nurse can readjust the traction weights and reposition the client to the center of the bed for correct placement and comfort. Removing the skin traction should not be considered as an option.
In summary, when a client's foot is against the bed's footboard while Buck's skin traction is in place, the nurse should wedge a pillow, make necessary adjustments, and ensure proper positioning to maintain comfort and maximize the traction's effectiveness.
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