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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

By 3 months old, most babies can lift their heads and chest up from a belly-down position.
Choice A is not correct because it is normal for a 3-month-old infant to be unable to roll from back to abdomen.
Choice B is not correct because it is normal for a 3-month-old infant to be unable to use a pincer grasp to pick up objects.
Choice D is not correct because it is normal for a 3-month-old infant to be unable to sit without support.

A. The infant does not sit steadily without support. B. The infant will not play peek-a-boo. C. The infant cannot turn the pages in a book. D. The infant is unable to recognize objects by name.

Correct Answer is A

Explanation

At 10 months old, infants are typically able to sit steadily without support.
This is a developmental milestone that should be reported to the provider if not met.

Choice B is not an answer because playing peek-a-boo is not a typical milestone for a 10-month-old infant.
Choice C is not an answer because turning pages in a book is not a typical milestone for a 10-month-old infant.
Choice D is not an answer because recognizing objects by name is not a typical milestone for a 10-month-old infant.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a 3-month-old infant. Which of the following findings should the nurse report to the provider?

Correct Answer is C

Explanation

A nurse is collecting data from a 10-month-old infant. Which of the following findings should the nurse report to the provider?

Correct Answer is A

Explanation

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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?