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 B
Explanation
A nurse would recommend having crackers handy at the bedside and eating a few before getting out of bed to alleviate nausea in the early morning for a pregnant woman 1.
Eating foods that don’t aggravate your stomach, such as crackers, can help limit morning sickness.
Choice A is not an answer because eating three well-balanced meals per day and limiting snacks may not help alleviate nausea.
Eating small meals can help limit morning sickness.
Choice C is not an answer because drinking a full glass of fluid at the beginning of each meal may not help alleviate nausea.
Drinking throughout the day, not just when you are thirsty, can help limit morning sickness.
Choice D is not an answer because eating a bland diet and avoiding concentrated sweets may not help alleviate nausea.
Eating foods that don’t aggravate your stomach can help limit morning sickness.
Correct Answer is B
Explanation
A. Lateral incisors are present:At 6 months, infants typically begin teething, but the lateral incisors usually do not appear until around 9 to 13 months. The first teeth to emerge are usually the lower central incisors.
B. Posterior fontanel is closed:The posterior fontanel, or the soft spot at the back of the baby's head, typically closes by 2 to 3 months of age. Therefore, it is expected to be closed by the time the infant is 6 months old.
C. Infant's birth weight is tripled:By 6 months, infants generally double their birth weight. Tripling of birth weight is more commonly expected by the end of the first year.
D. Infant sits well without support:Most infants begin to sit without support around 7 to 9 months. At 6 months, they may sit with some support but are not yet expected to sit well independently.
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