During pin site care for a client in skeletal traction, what finding would necessitate documentation by the nurse?

The presence of serous drainage at a pin site in skeletal traction is a normal finding and does not typically necessitate documentation. It's important to note that serous drainage is clear or straw-colored fluid that can be expected as a part of the healing process around the pin site. However, the correct finding that would warrant documentation by the nurse relates to signs that could indicate complications, such as infection or poor healing.

For instance, the presence of a foul odor may suggest an infection, which requires immediate attention and documentation. Similarly, increased swelling could indicate a potential issue, such as inflammation or infection around the pin site, while discoloration of the skin could point to compromised circulation or infection. Each of these findings stands out as a signal that something may be wrong and should be carefully monitored and documented to ensure appropriate interventions can be initiated. Therefore, the essential focus on documentation centers around any signs that may signify complications rather than routine observations like serous drainage.