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Author Question: The nurse is preparing a hot water bottle for application to an unconscious client with ... (Read 78 times)

newyorker26

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The nurse is preparing a hot water bottle for application to an unconscious client with thrombophlebitis in the right leg. Which temperature of the water in the bottle is appropriate for this client?
 
  1. 100 F to 105 F
  2. 105 F to 110 F
  3. 105 F to 115 F
  4. 115 F to 125 F

Question 2

While applying a warm wet soak to the client's left leg, the unlicensed assistive personnel (UAP) notes a small burn on the inside of the calf. The UAP informs the RN. Which response by the nurse is the most appropriate?
 
  1. Please notify the health care provider.
  2. Describe the burn in detail, please.
  3. I'll go take a look at it.
  4. Make sure you document it and complete an incident form.



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234sdffa

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Answer to Question 1

Correct Answer: 3

The water for a debilitated or unconscious adult should be 105 F to 115 F. For a normal adult, the water temperature would be 115 F to 125 F.

Answer to Question 2

Correct Answer: 3

Although the nurse can delegate the performance of the task, the responsibility for the task is not delegated, so the nurse should go assess the wound prior to notifying the health care provider and completing an incident report. The nurse should not rely on the UAP's description of the wound but should assess it thoroughly.




234sdffa

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