In a hospitalized teenage girl in skeletal traction, what is the most likely primary concern?

• A. Body image
• B. Nutrition
• C. Keeping up with schoolwork
• D. Rest and sleep

Answer: (A)

Adolescents are particularly concerned with body image and their developing sense of self. When a teenage girl is in skeletal traction, her limb is immobilized and she has visible devices, pins, or a cast, which can dramatically alter her appearance and ability to participate in normal activities. That disruption can threaten self-esteem and provoke worry about peer perception and acceptance, making body image the most immediate and central concern in this situation. Nursing care should prioritize supporting a positive body image by protecting privacy, helping her feel involved in care decisions, offering clothing and hygiene options that improve appearance and comfort, and enabling age-appropriate social interaction as much as possible. While nutrition, rest, sleep, and schoolwork are important, addressing the teen’s body image and autonomy during hospitalization tends to be the most impactful focus for her well-being.