Which action by an unlicensed assistive personnel (UAP) indicates a need for further teaching when caring for a client with skeletal traction?

• A. Elevates head of bed before the client eats.
• B. Records urine output after emptying Foley catheter.
• C. Wipes foot with a wet towel where traction is located.
• D. Places the weights on bed before repositioning.

Answer: (D)

The action that signifies a need for further instruction is placing the weights on the bed before repositioning. In the context of skeletal traction, it is crucial that the weights remain suspended and free from any obstacles to ensure that the traction remains effective and that the forces applied on the bones and joints are maintained correctly. If weights are placed on the bed, this can disrupt the tension required for proper alignment and healing, potentially causing complications such as improper healing of fractures.

Effective skeletal traction relies on the continuous pull that the weights create. By placing the weights on the bed, the UAP would compromise the alignment of the skeletal system and may hinder the patient's recovery. Therefore, it is essential that individuals assisting with skeletal traction understand the importance of keeping weights appropriately positioned to maintain the therapeutic effects of the traction. This lack of understanding indicates a gap in knowledge regarding proper traction management, highlighting the need for further education in this area.