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 C

Explanation

A. Looseness of the stump dressing may indicate the need for adjustment, but it is not a complication in itself.

B. The dressing forming a cone shape over the stump is a not sign of complications.

C. Pitting edema around the stump dressing may indicate swelling, which is common after an amputation. It is important to monitor for excessive edema as it is a sign of potential complication.

D. Figure-eight wrapping around the stump is a technique used to provide even pressure and support, helping to prevent edema and promote healing. It is not a complication.

A. 1 plain baked potato B. 1 cup carrot strips C. ½ cup chopped chicken breast D. 3 oz canned salmon

Correct Answer is D

Explanation

A. 1 plain baked potato is not a significant source of calcium.

B. 1 cup carrot strips do not provide a substantial amount of calcium.

C. ½ cup chopped chicken breast is a source of protein but is not high in calcium.

D. 3 oz canned salmon is one of the highest dietary sources of calcium. It is especially beneficial for individuals with osteoporosis because it contains not only calcium but also vitamin D, which helps with calcium absorption.

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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