49. A complication of Buck's extension traction would be noted by a nurse if:
. Redness and purulent drainage appeared at the pin site.
. Toes of affected leg became dusky in color.
. Skin over the fracture site was flushed.
. Dorsiflexion developed in the affected foot.
Test-Taking Tip
Choose the option that describes a problem from traction that is applied externally. If too tight, a limb becomes dusky, not flushed.
Content Area: Adult Health, Musculoskeletal; Integrated Process: Nursing Process, Assessment; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Basic Care and Comfort/Mobility/Immobility
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Answer 1 is incorrect because Buck's is skin traction, not skeletal traction, which uses pins. Answer 2 is correct because Buck's is skin traction to the lower leg. Circulatory disturbances and skin abrasions are the most important nursing concerns. Answer 3 is incorrect because Buck's is skin traction using an elastic bandage. The fracture site would not be visible. Answer 4 is incorrect because Buck's uses a foam boot to support the foot of the affected extremity in a dorsiflexed position. This position is, therefore, not a complication.