Question

The nurse is making initial rounds on a client with a C5 fracture and crutchfield tongs. Which equipment should be kept at the bedside? A. A pair of forceps B. A torque wrench C. A pair of wire cutters D. A screwdriver

Short answer

Answer: A pair of wire cutters.

Step-by-step solution

Understand the purpose of Crutchfield tongs

Crutchfield tongs are a type of cervical traction device used to stabilize and realign the cervical spine after a fracture or dislocation. They have two metal pins that are inserted into the skull on each side, and weights are attached through a pulley system to provide controlled traction and immobilization.

Analyze the given equipment options

A. A pair of forceps: This tool is typically used in surgeries and procedures to grasp small objects or tissues. It is not specifically related to the care of a patient with Crutchfield tongs. B. A torque wrench: A torque wrench is a tool used to precisely apply a specific torque (force rotation) to a fastener such as a nut or bolt. It can be relevant in setting up or adjusting Crutchfield tongs, but it is not commonly needed at the bedside once the traction is properly set up. C. A pair of wire cutters: A tool used to cut wires. In cases of emergency, it can be essential to release the patient from the traction system quickly, potentially by cutting the wires connecting the weights to the tongs. D. A screwdriver: A tool used to turn screws either clockwise or counterclockwise directions. It is not specifically related to the care of a patient with Crutchfield tongs.

Choose the most relevant equipment

Based on the analysis of each equipment option and considering their relevance to a patient with a C5 fracture using Crutchfield tongs, the most appropriate equipment to keep at the bedside is: C. A pair of wire cutters The wire cutters provide the most essential function in case of an emergency, allowing the patient to be quickly released from the traction system if necessary.