The nurse is preparing to do pin site care for a client in skeletal traction.It is noted that the site appears red and feels warm to the touch.What actions will the nurse perform in taking care of this situation? Select all that apply.

Question

Quizplus · Accepted Answer

Redness and warmth at a pin site in a patient with skeletal traction could indicate an infection. Therefore, it is important to notify the healthcare provider (A) as they may need to assess the situation and possibly prescribe antibiotics or other treatments. Obtaining a culture and sensitivity specimen from the pin site (C) is a common practice to identify the specific bacteria causing the infection and to determine the most effective antibiotic. Checking the client's vital signs (E) is also important as changes could indicate a systemic response to infection. Refraining from disturbing the crusts around the pin (B) might be considered to prevent further infection risk, but it is not mentioned as a direct action in response to the signs of infection. Removing the client's traction weights (D) is not appropriate without specific orders from a healthcare provider, as it could compromise the traction's effectiveness and the patient's healing process.

The Nurse Is Preparing to Do Pin Site Care for a Client