A. Assessing the pulses proximal to the fracture site is crucial for evaluating blood circulation to the affected limb and detecting potential complications such as compartment syndrome. B. While monitoring pin sites for signs of infection is important, the priority is ensuring adequate circulation. C. Administering pain medication is essential for comfort but does not address potential complications from skeletal traction. D. Removing traction every shift is not advisable as it can compromise the alignment and healing of the fracture.