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
Elevated levels of MSAFP may indicate that the baby is at risk of a neural tube defect, like spina bifida.
However, further testing is required to confirm the results and determine the cause of the elevated levels.
Choice A is incorrect because low levels of MSAFP may indicate a risk for Down syndrome, not elevated levels.
Choice B is incorrect because while elevated levels of MSAFP may indicate a risk for neural tube defects, further testing is required to confirm this.
Choice D is incorrect because while repeating the test may be necessary, further testing beyond just repeating the MSAFP screening may also be required.
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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