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
The purpose of administering vitamin K to a newborn following delivery is to prevent bleeding.
Vitamin K helps blood to clot and is essential in preventing serious bleeding in infants.
Choice A is not an answer because administering vitamin K does not prevent infection.
Choice B is not an answer because administering vitamin K does not prevent potassium deficiency.
Choice D is not an answer because administering vitamin K does not prevent hyperbilirubinemia.
Correct Answer is B
Explanation
The nurse observes Brittny during meal times and for 2 hours after eating to monitor for purging behaviors.
Choice A is incorrect because building a trusting relationship with the patient is important but not the primary reason for observing the patient during meal times and for 2 hours after eating.
Choice C is incorrect because teaching about nutrition is important but not the primary reason for observing the patient during meal times and for 2 hours after eating.
Choice D is incorrect because taking a break with the patient is not the primary reason for observing the patient during meal times and for 2 hours after eating.
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