Asked by Imani Reese on May 05, 2024

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The nurse is caring for a patient with a stage 3 pressure injury.The nurse has assigned a nursing diagnosis of Risk for infection.Which intervention would be most important for this patient?

A) Teach the family how to manage the odour associated with the wound.
B) Discuss with the family how to prepare for care of the patient in the home.
C) Encourage thorough hand hygiene by all individuals caring for the patient.
D) Encourage increased quantities of carbohydrates and fats.

Pressure Injury

A localized damage to the skin and/or underlying tissue, typically over a bony area, as a result of pressure or pressure in combination with shear.

Risk For Infection

A state where an individual has an increased likelihood of being invaded by pathogenic organisms.

Hand Hygiene

Practices aiming to maintain hand cleanliness to prevent the spread of germs and infections, typically involving hand washing or the use of hand sanitizers.

  • Recognize the importance of hygiene and infection prevention in wound care.
  • Prioritize interventions for different stages of pressure injuries.
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Verified Answer

CK
Christopher KlineMay 09, 2024
Final Answer :
C
Explanation :
The number one way to decrease the risk of infection by breaking the chain of infection is to wash hands.Encouraging fluid and food intake helps with overall wellness and wound healing,especially protein,but an increase in carbohydrates and fats is not related to the risk of infection.If the patient will be discharged before the wound is healed,the family will certainly need education on how to care for the patient.Teaching the family how to manage the odour associated with a wound is certainly important,but these interventions do not directly relate to the risk of infection and breaking the chain of the infectious process.