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The Home Care Nurse Is Visiting an Older Adult Client

Question 36

Multiple Choice

The home care nurse is visiting an older adult client who has diabetes and "skinned his shin" yesterday.An intact scab is seen over the abrasion,and the skin around it is red,warm,and hard.Which is the nurse's best action?


A) Teaching the client how to apply cold compresses to the area
B) Lifting an area of scab to see whether any exudate can be expressed
C) Measuring the length and width of the red area
D) Calling the health care provider for a prescription to treat cellulitis

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