Page 2109 - Saunders Comprehensive Review For NCLEX-RN

maintaining a straight pull on the limb with the use of
weights (see Fig. 60-4).
a. A boot appliance is applied to attach to
the traction.

b. The weights are attached to a

pulley; allow the weights to hang freely
over the edge of bed.
c. Not more than 8 to 10 lb (3.5 to 4.5 kg) of
weight should be applied as prescribed.
d. Elevate the foot of the bed to provide the
traction.
4. Russell’s skin (sling) traction: See Fig. 60-4 and Chapter
39 regarding this type of traction.
5. Pelvic skin traction is used to relieve low back, hip, or
leg pain or to reduce muscle spasm (see Fig. 60-4).

a. Apply the traction belt snugly

over the pelvis and iliac crest and attach
to the weights.
b. Use measures as prescribed to prevent
the client from slipping down in bed.
J. Balanced suspension traction (see Fig. 60-4)
1. Description
a. Balanced suspension traction is used
with skin or skeletal traction.
b. Used to approximate fractures of the
femur, tibia, or fibula
c. Balanced suspension traction is
produced by a counterforce other than
the client.

2. Interventions

a. Position the client in a low-Fowler’s
position on either the side or the back.
b. Maintain a 20-degree angle from the
thigh to the bed.
c. Protect the skin from breakdown.
d. Provide pin care if pins are used with
skeletal traction.
e. Clean the pin sites with sterile normal
saline and hydrogen peroxide or
povidone-iodine as prescribed or per
agency policy.
K. Casts
1. Description: Plaster, fiberglass, or air casts are used to
immobilize bones and joints into correct alignment

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