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Ms Walsh Scratches and Picks at a Wound in Her

Question 23

Multiple Choice

Ms. Walsh scratches and picks at a wound in her right foot. Because she is diabetic, the nurse obtained a doctor's order to apply mitt restraints. You were delegated by the nurse to monitor Ms. Walsh after the restraints were applied. Which of the following are important to report to the nurse?


A) Her heart rate
B) Her respiratory rate
C) The appearance of the wound
D) If you feel a pulse in the restrained extremities

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