The finding that would produce the most concern when performing pin care for the patient with an external fixator is:
1. crusts around the pin.
2. serous drainage on the dressing.
3. purulent drainage.
4. absence of pain.
3
Purulent drainage is the only abnormal finding.
PTS: 1 DIF: Cognitive Level: Analysis REF: 919
OBJ: 5, 6 TOP: Pin Care KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
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Is there any other assessment you need to obtain?
What will be an ideal response?