For a patient in traction who has skeletal pins, the nurse should:
a. use povidone-iodine to cleanse the pin site.
b. apply antiseptic ointment and cover with a split dressing.
c. use hydrogen peroxide as a rinse before a dressing is applied.
d. do both pin sites at the same time, with the same swab and solution.
B
Using a sterile applicator, apply a small amount of topical antibiotic ointment to the pin site and cover with a sterile 2 ? 2 split gauze dressing. (Note: Some physicians leave the site uncovered.) Dip a sterile cotton-tipped applicator into a sterile container of chlorhexidine 2 mg/mL solution. Place a sterile applicator by the pin, and roll it along the skin, away from the insertion site. Clean outward in a circular fashion from the pin. Dispose of the applicator. Remove crusts from the pin site when signs of infection are present. Chlorhexidine 2 mg/mL is the most effective cleansing solution for pin-site care. Never touch one pin site with material used on another. This prevents cross-contamination.
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