The nurse notes that the skin around the client's skeletal traction pin site is swollen, red, and crusty, with dried drainage. What is the nurse's priority action?
A. Decrease the traction weight.
B. Apply a new dressing.
C. Document the finding as the only action.
D. Notify the physician.
D
These clinical manifestations indicate inflammation and possible infection. Infected pin sites can lead to osteomyelitis and should be treated immediately.
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The nurse needs to consider teratogenic effects of medications when caring for what population of patients?
A) Older adults B) Patients with a history of cancer C) Children D) Young adult women
A patient is to begin taking iron supplements. The nurse evaluates the patient's understanding of the use of this drug. Which indicates that she has an adequate knowledge base?
a. Using antidiarrheal drugs if she has diarrhea b. Understanding that black stools may occur c. Checking her gums for bleeding d. Brushing her teeth with a soft-bristled brush
Which of the following women is apt to be at the greatest risk for nutritional deficiency during pregnancy?
A) A woman who never worries about dieting B) A woman with a 1-year-old son C) A woman with 10-year-old twins D) A woman who rarely eats fruit
A 45-year-old client is admitted to the critical care unit following a serious motor vehicle accident. A nurse performing the initial assessment is aware that major complications may include: Select all that apply.
A) Bleeding B) Wounds C) Multisystem organ failure D) Sepsis E) Shock