Ati lpn level med surg proctored exam (Delaware county school)
A nurse is caring for a client has a warm, moist compress to the lower extremity. Which of the following actions should the nurse identify as a risk to the client?
Explanation & Rationale
A. Changing the compress frequently helps maintain the therapeutic temperature and reduces infection risk. B. Heating the compress to 40.5° C (105° F) is within a safe range and consistent with facility policy. C. Removing the client’s robe and blankets over the compress increases the risk for burn injury because it prevents the nurse from easily detecting excessive heat on the skin and removes protective insulation. D. Securing the compress with a dry towel helps retain warmth and prevents dripping without adding risk.
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