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Cerebrovascular accident

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Question 

You are caring for a 79-year-old patient who recently had a cerebrovascular accident (stroke) and has paralysis of her left side. You perform a head-to-toe assessment and find a painful, 1-inch in diameter, reddened area with a crater in the middle of it on the patient's left heel.

1. What are your thoughts during this assessment?

2. What is your nursing diagnosis?

3. What action, if any, will you take?

4. How will you evaluate the effectiveness of your actions?

Reference no: EM133714837

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