Nursing Nerds

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Medical-surgical II

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Select all that applyclinical-judgment

Unfolding case — Carmela — part 3/5. Earlier: a 59-year-old store owner with type 2 diabetes and long-standing swelling of both lower legs attended the community clinic with an itchy, weeping eruption on both forearms whose distribution reproduced where she had handled a new cleaning concentrate. Update 2: an area on her left shin had become diffusely red, hot, firm, and tender, and its outer edge was marked with the date and time. Update 3: At review two days later the redness has advanced well beyond the marked line, the leg hurts considerably more than its appearance suggests, and she reports chills and feeling generally unwell. She adds that she has not taken her diabetes medication for the last two days because she felt too unwell to eat. Which nursing actions belong in the response at this point? Select all that apply.