After a client undergoes skeletal traction for a fractured femur, what should the nurse assess first?

The primary focus after a client undergoes skeletal traction for a fractured femur is to assess the neurovascular status of the affected extremity. This assessment is critical because skeletal traction involves the use of metal pins, wires, or screws that are placed into the bone to help align and stabilize the fractured area. As a result, it can pose risks for complications such as compromised blood flow or nerve damage to the affected leg.

By evaluating the neurovascular status, the nurse can identify signs of potential issues like diminished blood circulation, which may manifest as changes in skin color, temperature, swelling, or sensation in the limb. This assessment is vital in ensuring that any complications are caught early, allowing for prompt intervention to preserve limb function and overall patient safety.

While assessing vital signs, pain level, and the client’s alertness are also important aspects of nursing care, they do not take precedence over the immediate need to evaluate the neurovascular integrity of the extremity, particularly in the context of skeletal traction. Addressing the neurologic and vascular health of the affected limb directly correlates with the risk management needed post-surgery, making it the first priority in this scenario.