What should be monitored closely to prevent complications in a client using Buck's traction?

Monitoring skin integrity is essential for clients using Buck's traction because the application of traction can create pressure points and increase the risk of skin breakdown due to prolonged immobility and friction. Proper assessment of the skin can help identify any areas of redness, irritation, or ulceration early, which are signs that could lead to more severe complications such as infections or tissue necrosis if not addressed promptly.

The patient’s positioning and the equipment's fit must be carefully checked to ensure that the traction does not cause undue pressure on certain areas of the skin, particularly over bony prominences. This vigilance helps maintain healthy skin and prevents complications that could delay recovery or lead to further medical issues.

Other factors, while important, do not carry the same immediate risk regarding skin integrity. For instance, the weight of the traction, joint mobilization, and muscle strength are all aspects that may influence the overall effectiveness of treatment or rehabilitation but are not as critical for immediate monitoring to prevent complications directly related to the skin.