The nurse is assisting a client recovering from spinal fusion surgery with the application of a back brace. What action should be done prior to placing the brace on the client?
1. Apply lotion to the skin
2. Assist the client to put on a T-shirt
3. Measure the client's abdominal girth
4. Dust the skin with baby or corn powder
2
Rationale 1: Lotion will make the brace stick to the skin.
Rationale 2: Putting on a T-shirt protects the skin from the brace rubbing on bare skin.
Rationale 3: There is no reason for abdominal girth to be measured.
Rationale 4: Baby or corn powder should not be applied to the skin.
Global Rationale: Putting on a T-shirt protects the skin from the brace rubbing on bare skin. Lotion will make the brace stick to the skin. There is no reason for abdominal girth to be measured. Baby or corn powder should not be applied to the skin.
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