WALDEN UNIVERSITY SET A COURSE FOR CHANGE” Question 33 1

CLINICAL JUDGMENT REad and answer the questions? Mrs. Miller, age 59, is admitted for a femoral-popliteal bypass graft. She has type 2 diabetes mellitus. After surgery, she is in the intensive care unit and is hypotensive for 24 hours. Her operative leg is painful, and she barely moves. During her bath, the nurse notes a shallow, open, reddened area 2 inches in diameter on her sacral area and a large tender purple area with intact skin on the heel of her right foot. 1. Why did these areas develop? 2. How would a nurse stage these lesions to plan Mrs. Miller’s care? 3. The surgeon is n notified of these areas and orders training every 2 hours, elevation of the right foot, and a special pressure-reducing bed. What is the benefits and effectiveness of each of these ordered interventions? 4. With whom can you collaborate to manage Mrs. Millers’s Skin injuries?

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