Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
6. The correct nursing action to prevent infection in a client with an external fixation device for an open fracture is to:
Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
6. The correct nursing action to prevent infection in a client with an external fixation device for an open fracture is to:
. Double-glove for dressing changes.
. Scrub pin sites with Betadine.
. Give prophylactic antibiotics.
. Place on contact isolation.
Test-Taking Tip
Look for clues in the stem, such as "prevent," and a similar word in the options—"prophylactic."
Content Area: Adult Health, Musculoskeletal; Integrated Process: Nursing Process, Planning; Cognitive Level: Comprehension; Client Need/Subneed: Physiological Integrity/Reduction of Risk Potential/Potential for Complications of Diagnostic Tests/Treatments/Procedures
Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
.
Answer 1 is incorrect because infections are generally introduced into the wound during the initial trauma and surgery. Although it is possible that infections could be introduced during postoperative wound care, double-gloving would not reduce the risk. Answer 2 is incorrect because pin site care is controversial. Some surgeons prefer that pins be surrounded with scabs to protect the tissue. Some prefer cleansing with Betadine; however, it is irritating to tissue. Answer 3 is correct because open fractures create opportunities for microbes to enter the wound. Antibiotics throughout the perioperative period reduce the risk. Answer 4 is incorrect because contact isolation is used to prevent transmission of infection to other clients from the client who is isolated. It could not protect the client who is isolated.