The nurse is caring for a client complaining of a painful, hot area located on the client's leg. Erythema and edema are present in the localized area. Which action should the nurse perform next?
1. Palpate the area.
2. Place a heating pad on the area.
3. Notify the healthcare provider.
4. Place client on bed rest.
Correct Answer: 3
Reddened, swollen, localized, painful areas should not be palpated because these signs and symptoms indicate the presence of inflammation and possible infection. Disturbance may spread the infection into skin layers. The healthcare provider should be notified. The nurse would not palpate the area. The nurse would not apply a heating pad to this site. The nurse would not necessarily place the client on bed rest.
You might also like to view...
Erythrocytes are also known as
a. WBCs. b. platelets. c. RBCs. d. oxygen.
A patient has been bumping and pushing other patients. The nurse carefully explains to the patient that such behavior is unacceptable. The nurse has provided
a. balance. b. limit-setting. c. personal control. d. environmental modification.
A nurse is administering a medication that is formulated as enteric-coated tablets. What is the rationale for not crushing or chewing enteric-coated tablets?
A) to prevent absorption in the mouth B) to prevent absorption in the esophagus C) to facilitate absorption in the stomach D) to prevent gastric irritation
The nurse notes that the client is rapidly developing a decreased response to a medication. This decreased response is known as:
a. pharmacogenetics. b. tachyphylaxis. c. drug accumulation. d. drug toxicity.