The nurse applies a warm moist compress to the client's left wrist. Which item would the nurse exclude from the documentation of the intervention for this client?
1. Assessment of site before and after the application
2. Client's response to the compress
3. Assessment of the site every 5-10 minutes
4. Vital signs before, during, and after the treatment
Correct Answer: 4
Although it is never wrong to monitor vital signs, it is only required when heat is applied to a large area of the body. Heat applied to only the wrist should not impact vital signs, and would not be required unless the client showed an unexpected response.
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