Asked by Shanice Brown on Apr 29, 2024

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A family member assisting with a client's transfer reports a small skin tear on the client's forearm that occurred during the one-person assist transfer.After assessing the wound,what would be the correct action for the client's nurse to implement?

A) Obtain a transparent dressing to place on the wound
B) Request a consult with the wound care nurse
C) Cleanse the wound and apply a dressing
D) Tell the family member to reevaluate the wound in 20 minutes

Skin Tear

A wound caused by shear, friction, and/or blunt force resulting in separation of skin layers.

One-Person Assist

A method where a single caregiver provides support or assistance to a patient for mobility or transfer tasks.

Transparent Dressing

A thin, clear, adhesive covering used in medical settings to protect wounds or IV sites, allowing direct visual assessment without removal.

  • Comprehend the fundamentals of managing wound care, encompassing the gathering of specimens and the application of dressings.
  • Identify interventions to prevent complications during wound care and healing.
verifed

Verified Answer

BB
Blackand BlueGirlApr 30, 2024
Final Answer :
C
Explanation :
The nurse should immediately cleanse the wound and apply a dressing to prevent infection and promote healing. Additionally, the family member should be reminded to use proper transfer techniques in the future to prevent further injuries to the client. Option A may be appropriate if the wound is superficial, but it is important to first assess the depth of the wound. Option B may be necessary if the wound is severe or if the client has a history of complex wounds, but it is not necessary for a small skin tear. Option D is not appropriate as the wound needs immediate attention to prevent further damage.