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When Assessing a Patient,a Nurse Notes That the Skin Distal

Question 32

Multiple Choice

When assessing a patient,a nurse notes that the skin distal to a restraint is pale and cool to the touch.Which of the following interventions will the nurse perform first?


A) Remove the restraint.
B) Loosen the restraint.
C) Obtain a larger restraint.
D) Reapply the restraint with more padding.

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