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 D

Explanation

In patients with Duchenne muscular dystrophy (DMD), creatine kinase levels are often increased to levels that are 50-100 times the reference range.

Choice A is incorrect because lactate dehydrogenase is not typically elevated in DMD.
Choice B is incorrect because C-reactive protein is not typically elevated in DMD.
Choice C is incorrect because the erythrocyte sedimentation rate is not typically elevated in DMD.

A. The child does not make eye contact. B. The child sits quietly in the caregiver's lap during the interview. C. The child smiles when the caregiver shows her a stuffed animal. D. The child cries and runs to the door when the caregiver leaves the room.

Correct Answer is A

Explanation

One of the common symptoms of autism spectrum disorder (ASD) is difficulty with social communication and interaction, which can include avoiding or not keeping eye contact.

Choice B is not an answer because sitting quietly in the caregiver’s lap during the interview is not a typical symptom of ASD.
Choice C is not an answer because smiling when shown a stuffed animal is not a typical symptom of ASD.
Choice D is not an answer because crying and running to the door when the caregiver leaves the room is not typical symptom of ASD.

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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?

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Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

The nurse is collecting data on an 18-month-old child with a diagnosis of autism spectrum disorder (ASD). What clinical manifestation would likely have been noted in the child with this diagnosis?

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?