Asked by Pareet Chattrath Parneet on Jul 17, 2024
Verified
A nurse is making initial rounds on patients. Which intervention for a patient with poor wound healing should the nurse perform first?
A) Reinforce the wound dressing as needed with 4 * 4 gauze.
B) Perform the ordered dressing change twice daily.
C) Observe wound appearance and edges.
D) Document wound characteristics.
Wound Healing
The process by which the skin or other body tissue repairs itself after injury, involving various stages from clot formation to tissue remodeling.
Wound Dressing
The application of sterile materials to a wound to protect it from infection and to promote healing.
Dressing Change
The process of removing old wound coverings and applying new, clean bandages, essential for the prevention of infection and promotion of healing.
- Recognize suitable initial nursing actions for particular patient requirements.
Verified Answer
RQ
Rabih QustoJul 20, 2024
Final Answer :
C
Explanation :
The most appropriate initial intervention is to assess the wound (observe wound appearance and edges). The nurse must assess the wound first before the findings can be documented, reinforcement of the dressing, and the actual skill of dressing changes.
Learning Objectives
- Recognize suitable initial nursing actions for particular patient requirements.