A client is placed in balanced traction with a Thomas splint and a Pearson attachment. What will the nursing care of a client in this type of traction include?
1. Assessing the groin area for signs of pressure
2. Preventing pressure at the heel of the affected side
3. Changing the compression bandages once a shift
4. Maintaining the bed in flat position to facilitate traction
Answer: 1
Balanced suspension traction with a Thomas splint is a type of skeletal traction that requires checking the groin area where the thigh is supported. The leg of the affected side is suspended off the bed, and the heel is usually not a problem. Because it is skeletal traction, there is no compression bandage. (deWit, 2 ed, p. 788, 798-799).