A nurse is assessing a client who is in skeletal traction. Which of the following findings should the nurse identify as an indication of infection at the pin sites?

Mild erythema

Serosanguineous drainage

Fever

Warmth

Answer and Explanation

The Correct Answer is C

A. Mild erythema (redness) at the pin sites can be a normal finding due to the body's response to the presence of foreign objects. It may not necessarily indicate infection.

B. Serosanguineous drainage (a mixture of clear and bloody fluid) can also be a normal finding initially after the insertion of pins. It may not necessarily indicate infection.

C. Fever is a systemic response to infection. In a client with skeletal traction, fever can be an indication of an infection at the pin sites or a more systemic infection related to the traction device.

D. Warmth around the pin sites can be a normal finding due to the inflammatory response that occurs after pin insertion. It may not necessarily indicate infection.

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Correct Answer is ["A","B","D","E"]

Explanation

A. Avoiding prolonged sitting helps reduce pressure on the lower back and minimizes the risk of developing back strain or pain.

B. Sleeping in a side-lying position with flexed knees helps maintain the natural curvature of the spine and reduces strain on the lower back.

D. Using padded shoe insoles can provide additional support and cushioning to the feet and lower back, helping to reduce strain.

E. Applying heat for short durations can help relax muscles and alleviate muscle tension, which can contribute to back pain relief. However, it's important not to overuse heat, so short intervals are recommended.

A. Stretching exercises B. High-impact aerobics C. Riding a bicycle D. Walking briskly

Correct Answer is D

Explanation

A. Stretching exercises are beneficial for improving flexibility and range of motion. This however doesnt load bones to slow down osteoporosis.

B. High-impact aerobics can increase the risk of fractures in individuals with osteoporosis due to the stress on bones. It is not a recommended form of exercise.

C. Riding a bicycle is a low-impact exercise that can be beneficial for cardiovascular health, but it may not specifically address the needs of osteoporosis.

D. Walking briskly is a weight-bearing exercise that can help strengthen bones. It's a good recommendation for clients with osteoporosis.

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A nurse is assessing a client who is in skeletal traction. Which of the following findings should the nurse identify as an indication of infection at the pin sites?

Nursing Test Bank

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