The nurse is caring for a client who uses an orthotic device. Four days later, the client is noted to have a red area at the edge of the device which is padded and observed for 3 more days
Despite this intervention, the area is growing in size and is now open. Which nursing action is most appropriate in this situation?
1. Removing the orthotic device until the site heals
2. Having the device reshaped to remove the pressure area
3. Notifying the health care provider and orthotist
4. Using a thicker pad over the site
Correct Answer: 3
When an area of irritation is noted, and does not improve or worsens after 3 days of padding and observation, the nurse should notify the health care provider and orthotist to correct the situation. The other options are incorrect.
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