Asked by Jimmy Tobin on Jun 10, 2024
Verified
The nurse is caring for a patient who has an order to change a dressing twice a day,at 0600 and 1800.At 1400,the nurse notices that the dressing is saturated.What is the nurse's next action?
A) Wait and change the dressing at 1800 as ordered.
B) Revise the plan of care and change the dressing now.
C) Reassess the dressing and the wound in 1 hour.
D) Discontinue the plan of care.
Dressing Change
The act of removing an old wound covering and applying a new sterile dressing, which is crucial for preventing infection and promoting healing.
Plan Of Care
A detailed, prescribed healthcare strategy that addresses a patient's specific health issues.
Saturated Dressing
A medical dressing that has been thoroughly soaked or impregnated with a solution, often used to clean, protect, or treat a wound.
- Comprehend the methodology and significance of assessing wound healing, which includes the evaluation of wound development.
- Discern the procedures of the nursing process, specifically the evaluation phase, and appreciate its importance in the provision of patient care.
Verified Answer
NJ
Nurul JannahJun 11, 2024
Final Answer :
B
Explanation :
Based on evaluative data,the nurse revises,discontinues,or continues a patient's plan of care.Because the dressing is saturated,the nurse needs to revise the plan of care and change the dressing now.Waiting until 1800 or for another hour is not appropriate because assessment data-that the dressing is saturated-indicate that the dressing needs to be changed now.Data are insufficient to support discontinuing the plan of care.Instead,data at this time indicate the need for revision of the plan of care.
Learning Objectives
- Comprehend the methodology and significance of assessing wound healing, which includes the evaluation of wound development.
- Discern the procedures of the nursing process, specifically the evaluation phase, and appreciate its importance in the provision of patient care.