foundations of nursing cooper gosnell Foremost Academic Reputation.
The patient is recovering from a hemmorhoidectomy and experiences dizziness within five minutes of the sitz bath. What action should the nurse implement? The nurse should remove the patient from the sitz bath and return to bed. This is because of dilation of the large vessels in the abdomen. Vitals should be assessed until they return to normal. What should the water temperature be when preparing for a tepid bath? 98.6 F The nurse is inspecting the patient's skin for signs of impaired integrity. What finding by the nurse would be considered a major manifestation? Pressure ulcer The nurse asses an area of attained redness on the coccyx area of a resident in long-term care. What is the most likely cause of this pressure area? Collapse of blood vessels The nurse is caring for an unconscious patient with risk for a skin impairment. How often should this patient's position be changed? Every 2 hours or 120 minutes The nurse assess a red blister over the right superior illiac area of the patient. What stage is this decubitous ulcer? Blistering is a stage II (2) ulcer The nursing assessment of a pressure ulcer includes size, depth, pain, odor, and color of tissue. What does this evaluate? Ongoing assessment of a pressure ulcer will evaluate whether or not improvement is occurring
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the nurse is preparing to bathe a patient what te