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.

Key concepts

Nursing Education

Nursing education plays a crucial role in preparing students and professionals to deliver high-quality healthcare and handle complex medical situations. The focus often includes mastering clinical skills, acquiring theoretical knowledge, and developing critical thinking.

Incorporating problem-solving exercises enhances students' ability to assess scenarios like cervical injuries with Crutchfield tongs. Nurses must decide on the right equipment for safety and effective patient care. This practical approach prepares them for real-world situations, improving patient outcomes.

When dealing with medical equipment in scenarios requiring urgent response, planning and knowledge sharing are vital. This includes understanding the mechanism and usage of cervical traction devices, thus fostering a well-rounded nursing education.

Cervical Traction

Cervical traction is a medical treatment used to alleviate pressure and pain in the neck while stabilizing injuries, such as fractures or dislocations in the cervical spine. Devices like Crutchfield tongs are commonly applied in hospital settings for these purposes.

Crutchfield tongs consist of two metal pins securely inserted into the skull. Through a weighted pulley system, traction is maintained, helping to realign and immobilize the spine. During setup, precision is key to ensure safe and effective treatment outcomes.

Nurses must be skilled in managing these systems, understanding the need for correct tension and maintenance of equipment. Recognizing the signs of potential complications or equipment malfunction is a critical skill. Training often involves both theoretical learning and hands-on practice to ensure adeptness in managing these sophisticated devices.

Emergency Nursing Equipment

Emergency nursing equipment is crucial in ensuring immediate response and effective handling of critical patient cases. In the context of cervical traction, having the right tools readily available can make a significant difference during emergencies.

• Wire Cutters: Essential for swiftly releasing a patient from traction devices like Crutchfield tongs under emergency conditions, ensuring quick response to prevent further injury.
• Torque Wrench: Although not typically needed at the bedside, it aligns and secures the traction setup initially, underlying the importance of preparatory accuracy.

Nursing staff should be adept in recognizing which tools are immediately required and how to use them efficiently. Training in emergency preparedness, alongside knowledge of the specific functionalities of various medical tools, enhances the nurse's ability to act swiftly and effectively, safeguarding patient welfare.