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

Multiple Choice

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.

A) Notify the healthcare provider.
B) Refrain from disturbing the crusts around the pin until the healthcare provider can observe it.
C) Expect to obtain a culture and sensitivity specimen from the pin site.
D) Remove the client's traction weights until the healthcare provider sees the client.
E) Check the client's vital signs.