Asked by Katie Utley on May 07, 2024
Verified
The nurse is completing an assessment on a patient who has a Stage IV pressure ulcer. The wound is odorous, and a drain is currently in place. Which statement by the patient indicates issues with self-concept?
A) "I am so weak and tired. I want to feel better."
B) "I am thinking I will be ready to go home early next week."
C) "I am ready for my bath and linen change right now since this is awful."
D) "I am hoping there will be something good for dinner tonight."
Stage IV Pressure Ulcer
A severe injury to the skin and underlying tissue, characterized by extensive damage, necrosis, or damage to muscle and bone.
Self-Concept
Complex, dynamic integration of conscious and unconscious feelings, attitudes, and perceptions about one's identity, physical being, worth, and roles; how a person perceives and defines self.
Odorous Wound
A wound that emits a noticeable and often unpleasant smell, usually indicative of infection or necrosis.
- Implement and evaluate interventions to reduce risks associated with immobility and skin impairments.
Verified Answer
NS
Naila SadiqMay 12, 2024
Final Answer :
C
Explanation :
Body image changes can influence self-concept. The wound is odorous, and a drain is in place. The patient who is asking for a bath and change in linens and states that this is awful gives you a clue that he or she may be concerned about the smell in the room. Factors that affect the patient's perception of the wound include the presence of scars, drains, odor from drainage, and temporary or permanent prosthetic devices. The patient's stating that he or she wants to feel better, talking about going home, and caring about what is for dinner could be interpreted as positive statements that indicate progress along the health journey.
Learning Objectives
- Implement and evaluate interventions to reduce risks associated with immobility and skin impairments.