86. A community health nurse is providing home-based wound care for a patient with a diabetic foot ulcer. The patient reports new, throbbing pain in the foot and increasing warmth. What is the immediate clinical action?

  • Encourage the patient to walk more
  • Assess for signs of infection, notify the physician immediately, and prepare for potential IV antibiotics/debridement
  • Apply a warm compress and ignore
  • Tell the patient to elevate the foot only
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