The nurse is caring for a patient with an external fixator device. What care should the nurse provide to this patient?

1. cleansing pin sites per orders to reduce the chance of infection
2. adjusting the tension on the pins whenever the patient experiences pain
3. explaining that bathing in a tub can be resumed after 3 days
4. encouraging the patient to keep the limb with the external fixator very still.


Correct Answer: 1
The pins require care to reduce the risk of infection. Adjusting the device is outside the scope of nursing; this is a physician's responsibility. Bathing (soaking in water) in a tub is not permitted due to the chance of infection through pin sites. An external fixator is meant to increase the patient's independence while maintaining immobilization.

Nursing

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