The nurse is aware that pin care for a client with an external fixation should include which of the following? (Select all that apply.)
a. Use a new gauze pad over all pins.
b. Do not remove any crust from around the pin site.
c. Report an increase in fever to 101.5 degrees Fahrenheit.
d. Remove drainage from pin site.
e. Monitor for redness, swelling, purulent drainage, or pain.
f. Apply a clean, moist dressing.
C, D, E
Pin care includes using a new gauze pad over each pin; removing any crust from around the pin site; removing drainage from pin site; applying a clean, dry dressing; monitoring for redness, swelling, purulent drainage or pain; and reporting an increase in fever to 101.5 degrees Fahrenheit.
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A nurse is incorporating a cultural assessment into nursing care. Which assessment question by the nurse leads the supervisor to conclude that this nurse needs further education on cultural assessment?
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