The nurse is aware that pin care for a client with an external ...

[yoroshambo]

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.

Question 2

A client develops a red macule at the site of a deer tick bite, a rash with round rings around the site, headache, neck stiffness, and pain. The nurse should suspect the client has developed which of these conditions?
 
  a. gout c. polymyositis
  b. Lyme disease d. rheumatoid arthritis

[recede]

Answer to Question 1

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.

Answer to Question 2

B
Lyme disease, a spirochetal infection carried by deer ticks, initially creates a red spot that starts at the point of the tick bite and then expands; headache, fever, pain, and stiff neck may also be present. If the disease is untreated, the client develops arthritis, fatigue, and neurological abnormalities.

[yoroshambo]

Thank you!

[recede]

Always glad to help...