The nurse is preparing discharge instructions for a patient who has tactile alterations in his legs. Which instructions should be included? (Select all that apply.)
a. Verify bath water temperature is approximately 39.5 ° C.
b. Do not use hot or cold therapy on any extremity.
c. Use sturdy shoes when walking outside or on hard surfaces.
d. Report any changes in skin color on your legs to your health care provider.
e. Set your water heater so that scalding is not possible.
ANS: C, D, E
Bath water temperature should be approximately 37.8 ° C (100 ° F), and hot and cold therapy should not be used on the affected extremities, although it can be used on other areas of the body. Sturdy shoes can prevent foot injuries when there is decreased sensation in the lower extremities. Any decrease in sensation, change in the color of the skin, or wounds are reported to the health care provider. Water heaters are set so that scalding is not possible.
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