The nurse is assessing a patient in Thomas splint traction, a device used to immobilize a hip fracture. The nurse should assess for complications as indicated by:
Explanation
• Weak posterior tibial pulses are a sign of poor perfusion and arterial compromise. This could be caused by tissue pressure from the traction device.
• Redness that doesn't blanch with pressure is a sign of a developing pressure ulcer, a complication possible with the pressure of the bandage with a Thomas splint.
• A Thomas splint applies traction
• Warm toes are a sign of good perfusion.
• Pain at the fracture site is an expected finding.