WIN NURSING COACHING DAILY TEST SERIES PAPER – 09

DATE – 10.04.2021 (SATURDAY)

8742073072

WIN NURSING COACHING HALDI GHATI MARG PRATAP NAGAR JAIPUR 8742073072
 TODAY SUBJECT – MSN
➢ REVISION FRIENDLY FULLY COLOURED NOTES FOR BEST RESULTS, WATCH
THE VIDEO LECTURES ALONG WITH READING NOTES
TODAY TOPIC – TRACTION
https://youtu.be/3GCnjojoOiQ
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❖ TOTAL NUMBER OF QUESTIONS – 12

❖ TOTAL TIME – 10 MINUTES

1. Purpose of traction include-

A. Used in the treatment of fracture
B. It helps to reduce muscle spasm and contracture
C. Helps in internal reduction
D. Both A and B
2. Bryant’s traction I indicated in:
A. Fractures of femur
B. Fractures of humerus
C. Spinal fractures
D. Fractures of radius
3. Identify skin traction among the following:
A. Buck’s extension traction
B. Russell’s traction
C. Dunlop’s traction
D. All of the above
4. In an immobilized patient with traction, muscle atrophy can be prevented
by………………..
A. ROM exercises
B. Stretching exercises
C. Isotonic contractions
D. Isometric contractions
5. Foot drop is caused by an injury to:
WIN NURSING COACHING HALDI GHATI MARG PRATAP NAGAR JAIPUR 8742073072
 A. The tibia nerve
B. The common peroneal nerve
C. The obturator nerve
D. The sciatic nerve
6. Which of the following intervention is most appropriate to prevent foot drop in
a client with buck’s traction?
A. Provide proper positioning for the patient
B. Keep pillows under patient’s heels
C. Teach the patient isometric exercise
D. All of the above
7. Which one of the following is one purpose of traction?
A. Increase the muscle spasm
B. Reduce the infection
C. Immobilize the fractured part
D. All of the above
8. Look image & identify type of traction.
A. Cervical traction
B. Halo traction
C. Dunlop traction
D. Balance suspension traction
9. Look image and identify type of traction-
A. Buck’s traction
B. Russell traction
C. Gallows traction
D. Halo traction

10.The nurse is caring for a client with compound fracture of the tibia and fibula.
Skeletal traction is applied. Which of these priorities should the nurse include in
the care plan?
A. Order a trapeze to increase the client ambulation.
B. Maintain the client in a flat, supine position at all times.
C. Provide pin care at least every hour
D. Remove traction weight for 20 min every two hours
11.In order for the buck’s traction applied to the right leg to the effective the client
should be placed in which position?
A. Supine
B. Prone
C. Sim’s
WIN NURSING COACHING HALDI GHATI MARG PRATAP NAGAR JAIPUR 8742073072
 D. Lithotomy
12. A child has a right femur fracture caused by a motor vehicle accident & is place
in skin traction temporarily until surgery can be performed. During assessment,
nurse notes that dorsalis pedal pulse is absent on right foot. What action should
the nurse take?
A. Notify physician
B. Administer an analgesic
C. Release the skin traction.
D. Apply ice to the extremity

QUE 1 2 3 4 5 6 7 8 9
ANS D A D D B C C B C
QUE 10 11 12
ANS B A A

WIN NURSING COACHING HALDI GHATI MARG PRATAP NAGAR JAIPUR 8742073072
 Traction

Traction is the force applied in a specific direction. To apply the force needed to overcome
the natural force or pull of muscle groups.
• Ropes
• Pulleys
• Weight is used.

Purposes of Traction
1. To reduce and immobilize fracture
2. To regain normal length
3. To lessen or eliminate muscle spasm.
4. To prevent deformity.
5. To reduce pain.

i. Skin traction:-
a. Buck traction - it is use in adult
Indication-
• Back pain
• Hip fracture
• Acetabulum fracture
• Femur neck fracture

WIN NURSING COACHING HALDI GHATI MARG PRATAP NAGAR JAIPUR 8742073072
 b. Russell traction :-
➢ Used to align a fractured femur Shaft,(In adult) lower leg is supported in a sling just
below the knee
• Pulling forces are exerted upwards and longitudinally

c. Bryant traction –(gallows traction)

➢ Orthopedic traction (<6yr) used in young children patient's limbs are suspended in
the air vertically at a ninety Degree angle from the hips and knees slightly flexed.

ii. Skeletal Traction

1. Traction applied by the under aseptic conditions using wires, pins, or tongs placed
through bones and provides a strong, continuous pull.

2. Skeletal traction is used most frequently in treating fractures of the femur, humerus,
tibia, and cervical spine.

WIN NURSING COACHING HALDI GHATI MARG PRATAP NAGAR JAIPUR 8742073072
Skeletal traction:- weight is apply directly on bone.

1. Halo traction:- Encircles and is fixed to the head of a patient management of

destabilize the cervical spine

2. Cervical tong traction- Uses for treatment of cervical spine fractures.

Log rolling method- Use in spinal fracture or any type of spinal fracture.

WIN NURSING COACHING HALDI GHATI MARG PRATAP NAGAR JAIPUR 8742073072
iii. Specific traction-
1. Balanced Suspension Traction
➢ Uses additional weights to counterbalance the traction force floats the extremity in
the traction apparatus. breaks a femur bone In this weight is apply in Forward and
backward Direction.

2. Dunlop traction- It use in supracondyle fracture of humerus in children.

3. Pelvic traction- It is use in pelvic bone. Relieve pain in the lower back

WIN NURSING COACHING HALDI GHATI MARG PRATAP NAGAR JAIPUR 8742073072
 4. Cervical traction:-Also known as- head halter traction use in neck spasm.

Complications:-

1. Infection
2. Skin breakdown
3. Neurovascular compromise resulting in increased pain, muscle spasms, numbness,
tingling, and loss of sensation.

5. Immobility
a. Stasis pneumonia.
b. Thrombophlebitis.
c. Pressure ulcers.
d. Urinary infection add calculi.
e. Constipation.

Nursing Assessment
1. Assess for pain, Swelling
2. Assess skin condition
3. Assess for alignment of the affected body part.
4. Assess for signs and symptoms of complications.
5. Weights should hang freely.

Nursing attention-

• Never remove the weights when repositioning the patient who is in skeletal traction
because this will interrupt the line of pull and cause the patient considerable pain.

WIN NURSING COACHING HALDI GHATI MARG PRATAP NAGAR JAIPUR 8742073072
 • Every complaint of the patient in traction should be investigation immediately to
prevent injury.

Nursing diagnosis

• Impaired Physical Mobility

• Risk for Impaired Skin Integrity
• Risk for Peripheral Neurovascular Dysfunction

Result of trcation

• Exercises as instructed; deep breaths hourly; fluid intake 2,000 to 2,500 mL/24 hours.
• No signs of skin breakdown under traction bandage or over bony prominences.
• No drainage, redness, odor at pin site.
• No motor or sensory impairment.

WIN NURSING COACHING HALDI GHATI MARG PRATAP NAGAR JAIPUR 8742073072