The home care nurse is caring for a diabetic patient with a nonhealing leg wound. The nurse asks the patient's wife if she would like to watch as the nurse sets up to do the dressing change.
The nurse watches the wife's reaction as she completes the procedure. The best explanation for why the nurse does this is because
A) in most cases caregivers must become competent in taking over the wound care
B) the wife may have some affective reaction to the procedure that will need to be addressed
C) psychomotor skills are important and the nurse is evaluating the patient's wife to see if she is ready to assist
D) the patient's wife will play a role in the dressing change
Question 2
The nurse is caring for a 33-year-old woman who is experiencing pregnancy-induced hypertension (PIH). On the first visit, the nurse focuses on assessing
A) weight, presence of edema and hyperreflexia, fetal heart tones, compliance to the plan of care, nutrition, psychosocial status, and knowledge of symptoms.
B) weight, fetal heart tones, fundal height, and psychosocial status.
C) vomiting, weight loss, and fluid and electrolyte imbalances.
D) self-care capacity, edema, fundal height, and fetal heart tones.
Concept Care Map
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