Answer :

Final answer:

A nurse can reduce friction and shear in Buck's traction by ensuring proper positioning and alignment, providing regular skin care, and educating the patient on movement and its benefits.

Explanation:

To reduce friction and shear in Buck's traction, a nurse should first ensure the patient is positioned and aligned correctly in the bed. The bed should be kept flat or in a very slight Trendelenburg position to promote blood flow and prevent slippage. Positioning aids like foam wedges can be used to maintain proper alignment. Secondly, she should provide regular skin assessment and care to prevent pressure ulcers. Moisturizers and moisture-absorbing materials can be used to maintain skin integrity. Lastly, the nurse should educate the patient on the importance of shifting their position every two hours, and assist them if needed to minimize friction and shear.

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