What should the practical nurse (PN) do first upon observing that the prescribed weights for Buck's traction are hanging freely?

The correct response in this scenario involves understanding the priority of patient safety and the implications of improper traction management. When a practical nurse observes that the prescribed weights for Buck's traction are hanging freely, this indicates a potential compromise in the effectiveness of the traction, which may lead to discomfort or complications for the patient.

The first action should be to reposition the weights to ensure they adequately maintain traction, as this directly affects the alignment and stability of the affected limb. Addressing the mechanical aspect of the traction includes ensuring that it is functioning appropriately, which is critical for the patient’s healing process.

Comforting the patient is also important, but it is secondary to the need for proper traction management. Documenting the maintenance of traction and calling the healthcare provider might also be relevant actions, but they follow after ensuring that the traction system is correctly set up to prevent further issues. Maintaining correct traction is foundational to patient care in this scenario.