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Author Question: After assessing reddened heels on a bed-bound patient with a history of a stroke, which intervention ... (Read 92 times)

DyllonKazuo

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on: Jun 25, 2018
After assessing reddened heels on a bed-bound patient with a history of a stroke, which intervention should the nurse add to the care plan?
 
  a. Massage heels briskly.
  b. Apply socks to feet.
  c. Swab heels with alcohol.
  d. Elevate feet on pillows.

Question 2

Which finding is most important for the nurse to confirm prior to hanging an intravenous (IV) bag containing potassium?
 
  a. Verify a blood pressure of at least 60 mm Hg diastolic.
  b. Check for urine output of at least 30 mL/hr.
  c. Ensure filter placement on the IV line.
  d. Verify a pulse of at least 50 beats/min.


steff9894

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Reply #1 on: Jun 25, 2018
Answer to Question 1

D
Elevation of the feet gets the weight off the heels and will allow them to heal. All other options are not helpful to damaged skin. Brisk massage may promote damage to the skin. Alcohol can be irritating and may further damage heel skin.

Answer to Question 2

B
An adequate urine output must be present prior to the administration of potassium to ensure adequate excretion of potassium, preventing hyperkalemia.


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DyllonKazuo

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Reply #2 on: Jun 25, 2018
Thank you :)


steff9894

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Reply #3 on: Jun 25, 2018
Happy to help you


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