What is an important guideline for nurses caring for clients in skeletal traction?

Assessing neurovascular status every hour for the first 24 hours is crucial in caring for clients in skeletal traction because it helps monitor for any signs of complications, such as impaired blood flow or nerve damage. In skeletal traction, weights are applied to align and stabilize fractures, which can place stress on the affected limb. Regular assessment of neurovascular status allows the nurse to check for proper circulation, motor function, and sensation in the extremities. This early and frequent monitoring helps ensure timely interventions if any issues arise, reducing the risk of serious complications such as compartment syndrome.

The other options do not adequately address the immediate needs of the patient in skeletal traction. For example, changing weights frequently may disrupt the intended alignment and stabilization of the fracture. Restricting movement is essential, but it is not necessary to completely immobilize the affected body part in a way that ignores the possibility of slight adjustments within safe limits. Encouraging patients to lie completely flat may also not be appropriate based on their comfort and recovery needs, as different positions might be required for optimal healing and comfort.