A nurse is collecting data from a client who has skeletal traction.
Which of the following findings should the nurse identify as an indication of infection at the pin sites?
Warmth.
Mild erythema.
Serosanguineous drainage.
Fever.
The Correct Answer is D
Fever is a sign of infection and can indicate that there is an infection at the pin sites.
Choice A is not correct because warmth can be a normal finding at the pin sites.
Choice B is not correct because mild erythema can be a normal finding at the pin sites.
Choice C is not correct because serosanguineous drainage can be a normal finding at the pin sites.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A full bladder can displace the uterus and cause it to deviate to one side.
Choice A is not correct because a temperature of 37.7° C (100° F) is within the normal range for a postpartum client.
Choice B is not correct because the client’s milk production is not related to the findings noted by the nurse.
Choice D is not correct because there is no indication that the client needs an increase in IV fluids.
Correct Answer is D
Explanation
True labor contractions continue and become stronger over time.
Choice A is incorrect because true labor contractions are usually regular and become longer over time.
Choice B is incorrect because true labor contractions are usually not relieved by walking.
Choice C is incorrect because, during true labor, the cervix dilates to allow for the baby to pass through the birth canal.
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