The nurse is caring for a patient with a wound. The patient appears anxious as the nurse is preparing to change the dressing. Which action should the nurse take?
Tell the patient “close your eyes.”
Ask the family to leave the room.
Turn on the television.
Explain the procedure.
The Correct Answer is D
A. Telling the patient to close their eyes may not alleviate their anxiety and does not provide comfort or education.
B. Asking the family to leave could increase the patient's anxiety, especially if the family provides emotional support.
C. Turning on the television may distract the patient, but it doesn't address their anxiety.
D. Explaining the procedure helps reduce anxiety by informing the patient about what to expect, which promotes trust and understanding.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Vitamin D is important for bone health but is not directly involved in wound healing.
B. Vitamin B1 (thiamine) is essential for energy metabolism but does not play a major role in wound healing.
C. Calcium is vital for bone health, but protein plays a more significant role in tissue repair.
D. Protein is essential for tissue regeneration and wound healing as it helps build and repair tissues.
Correct Answer is {"dropdown-group-1":"E","dropdown-group-2":"E","dropdown-group-3":"B"}
Explanation
Wound infection: The presence of purulent drainage and redness at the incision site indicates a risk for infection, especially given the client's surgical history and risk factors (obesity, diabetes).
Dehiscence: The noted separation of the top edges of the incision and stretched upper staples increases the risk of dehiscence, which can occur due to tension, infection, or inadequate healing.
Pneumonia: The client is febrile, has crackles upon auscultation, and may be at risk for pneumonia due to decreased mobility and shallow breathing, which can occur post-surgery.
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