A nurse is cleansing the skin around the pin site of a client. Which of the following signs confirms the need to obtain a wound culture?
A) Numbness at the site
B) Cool temperature at the site
C) Swelling distal to the site
D) Purulent drainage from the site
D
Feedback:
The presence of purulent drainage at the pin site indicates the need to obtain a wound culture. Redness, swelling, and increased tenderness around the pin site are also signs that provide data for current and future comparisons. The nurse should also check if the client has a temperature and pain as it indicates the possibility of infection.
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