Author Question: The nurse notes an abrasion on the client's elbow. Appropriate nursing interventions include: ... (Read 58 times)

bb · **on:** Jul 22, 2018

The nurse notes an abrasion on the client's elbow. Appropriate nursing interventions include: Standard Text: Select all that apply.

1. Wound should be left open to air.
2. Client should be pulled up in bed.
3. Do not wear rings or jewelry when providing care.
4. Encourage increased fluid intake.
5. Wound should be kept clean and dry.

Question 2

The nurse understands that the following definitions of pain are appropriate to assimilate into one's practice: Standard Text: Select all that apply.

1. Pain is whatever the person experiencing it says it is.
2. Clients often exaggerate pain.
3. Pain is one of the body's defense mechanisms indicating that a problem exists.
4. The client is the authority on the pain that she is experiencing.
5. The nurse needs to be willing to believe that the client is experiencing pain.

shailee · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

3,5
Rationale: The wound is prone to infection; leaving it open to air might not be an appropriate intervention.

Answer to Question 2

1,3,4,5
Rationale: McCaffery defined pain as whatever the experiencing person says it is, existing whenever she says it does.