A patient has developed a hematoma under the incision for reconstruction of the great toe. What therapy would the nurse expect for this condition? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Application of cold compresses for the first 24 hours.
2. Elevation of the extremity
3. Serial assessment of the size of the hematoma
4. Application of a moisture barrier over the site
5. Aspiration
1,2,3,5
Rationale 1: A hematoma is caused by leakage of blood, and the application of cold helps encourage hemostasis.
Rationale 2: Elevation of the extremity will help decrease pressure on the site and may help with hemostasis.
Rationale 3: The nurse should assess the hematoma frequently to assess for changes in size.
Rationale 4: There is no indication of the need for a moisture barrier over this site.
Rationale 5: If the hematoma is large enough, aspiration may be necessary.
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