Reference no: EM133585158

Question

You are admitting a new patient to the antepartum unit. Melanie, who is 7 months pregnant, has arrived after a call from her physician's office regarding concerns of skin irritation and possible urinary tract infection. Melanie is sitting in a wheelchair and is in obvious discomfort with facial grimacing. You ask if she can stand on a scale to be weighed and she says, "I don't think your scale will hold me." Melanie, who is very obese, struggles to rise from the wheelchair and move toward the scale, holding the foot of the bed as she walks. You find she weighs 475 pounds, and her height is 66 inches. Additional information: You proceed to measure Melanie's blood pressure, using the largest cuff available. Why is it important to choose an appropriate size cuff in Melanie's case? You continue the admission assessment. Melanie's clothing appears neat but she has a pungent, foul-smelling body odor. Perspiration is visible on her forehead and upper lip although the environmental temperature is comfortable. She has long, artificial fingernails and multiple rings on her fingers. You assist Melanie as she removes her clothing and dons a hospital gown. You observe that she has rashes in the.