The nurse is caring for a 10-year-old in traction. While performing a skin assessment, the nurse notices that the skin over the calcaneus appears slightly red and irritated. Which action would the nurse take first?
A) Reposition the child's foot on a pressure-reducing device.
B) Apply lotion to his foot to maintain skin integrity.
C) Make sure the skin is clean and dry.
D) Gently massage his foot to promote circulation.
Ans: A
The nurse's first action is to remove continuous pressure from this area. The other actions can help decrease the potential for skin breakdown, but the pressure must be relieved first.
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Hindbrain is to cerebellum as midbrain is to
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