The nurse is assessing a client that had an above-the-knee amputation two weeks ago. The client refuses physical therapy (PT) and has remained mostly in bed since the surgery. While assessing the client's back, the nurse finds a large red mark.

What is the nurse's priority action?

Ramanpreet Kaur Sidhu

ID: 137304

Question

The nurse is assessing a client that had an above-the-knee amputation two weeks ago. The client refuses physical therapy (PT) and has remained mostly in bed since the surgery. While assessing the client's back, the nurse finds a large red mark.  
 
   What is the nurse's  priority  action? 
 
   Ramanpreet Kaur Sidhu   
 
 ID: 137304

Accepted Answer

Measure, document area and inform the charge nurse of the finding

Answer

Document the red mark and inform the oncoming nurse of the finding

Answer

Explain to the client this is their own fault for being immobile

Answer

Inform client that the red mark is caused by their noncompliance of PT

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The nurse is assessing a client that had an above-the-knee amputation two weeks ...

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