Question

The client is admitted with a fractured hip. The licensed practical nurse is aware that the client will most likely have which type of traction device in place? A. balanced skeletal traction B. Bryant traction C. Buck's traction D. Russell's traction

Short answer

Answer: C. Buck's traction

Step-by-step solution

Define each type of traction device

First, let's define each type of traction device to see which one is most suitable for a fractured hip. A. Balanced skeletal traction: This type of traction is applied directly to the bone and is used to stabilize complex fractures and reduce muscle spasms. It may be used in cases of hip fractures but is not the most common method. B. Bryant traction: This type of traction is mainly used for young children with fractured femurs or hip dysplasia, in which the child's legs are suspended in the air and flexed at a 90-degree angle, with weights attached to the ankles. C. Buck's traction: This is a type of skin traction commonly used for lower extremity fractures, including hip fractures. It involves placing a boot or splint on the affected leg and attaching weights to counteract muscle spasms and immobilize the area. D. Russell's traction: Similar to Buck's traction, Russell's traction is a type of skin traction applied to the lower extremity but involves a sling around the knee joint, with weights hanging from the affected leg's ankle and foot.

Determine the most likely traction device for fractured hip

Based on the definitions above, Option C, Buck's traction, is the most likely traction device used for treating a fractured hip in an adult patient. This is because Buck's traction is commonly used for lower extremity fractures and immobilizing the affected area, which helps in the hip fracture treatment. Balanced skeletal traction is a possibility but not commonly used as the first choice for the treatment of hip fractures. Bryant and Russell's tractions are not the most suitable options for this condition as they are primarily used for other types of fractures or conditions. So, the correct answer is: C. Buck's traction

Key concepts

Traction Devices

When dealing with fractures, especially those of the lower extremities such as hip fractures, traction devices play a critical role in managing pain and promoting healing. Traction is used to align bones, reduce muscle spasms, and maintain the limb in the correct position to heal properly. Different types of traction devices are utilized depending on the injury and the patient's age.

• Balanced Skeletal Traction: This involves pins or screws inserted into the bone to control complex fractures. It provides a high level of stabilization but is more invasive and generally reserved for severe cases.
• Bryant Traction: Primarily used for children with femur fractures or hip dysplasia, this method suspends legs vertically to align bones.
• Buck's Traction: This involves a boot or splint on the leg with attached weights. It is the most common form of traction used for adult hip fractures, providing effective stabilization with less discomfort.
• Russell's Traction: Combines features of Buck's traction with a knee sling, providing more support and ensuring proper limb alignment.

Understanding these devices allows healthcare professionals to choose the most suitable traction for each patient's specific needs, thus ensuring effective treatment outcomes.

Hip Fracture Treatment

Hip fractures are a severe medical condition, often occurring in elderly patients due to falls or osteoporosis. The primary goal in treating hip fractures is to stabilize the injury quickly to prevent complications. Treatment methods are determined by several factors, including the location and severity of the fracture, the patient's overall health, and their mobility before the fracture.

• Non-surgical Treatments: Include traction devices like Buck's traction, which provides temporary stabilization and pain relief while awaiting surgery.
• Surgical Options: Options usually involve repair or replacement of the hip joint. Surgical intervention aims to restore mobility and function.

Post-treatment, rehabilitation plays a critical role in recovery. Physical therapy helps regain strength and function, emphasizing the importance of holistic treatment planning.

Nursing Education

In the context of managing hip fractures and utilizing traction devices, nursing education is crucial. Nurses are at the forefront of providing care, so understanding the application and management of traction devices is essential. Some key points for nursing education include:

• Understanding Device Usage: Nurses train to correctly apply and adjust traction devices, ensuring they operate safely and effectively.
• Pain Management: Traction devices can help alleviate pain, but nurses must be skilled in additional pain management techniques and monitoring.
• Monitoring and Assessment: Continuous assessment of patient's condition and comfort is necessary. Nurses must be adept at identifying any complications that may arise, such as skin breakdown or issues with traction apparatus.

By equipping nurses with comprehensive education on these topics, patient care quality significantly improves, ensuring better recovery and outcomes for patients with hip fractures.