The nurse is teaching about postoperative wound care. As the ...

[HCHenry]

The nurse is teaching about postoperative wound care. As the wound is uncovered, the client begins mumbling, breathing rapidly, and trying to get out of bed and does not respond when the nurse calls his name.
 
  What should be the nurse's first action? A) Ask the client to describe his feelings.
  B) Proceed with wound care quickly.
  C) Replace the dressing on the wound.
  D) Get the assistance of another nurse.

Question 2

Which of the following communication techniques is most effective to use with an anxious client?
 
  A) Ask open-ended questions to facilitate self-expression.
  B) Provide an open, populated area to decrease fears of abandonment.
  C) Speak slightly louder than usual to improve communication.
  D) Stand or sit in the center of the client's visual field to facilitate attention.

[medine]

Answer to Question 1

C
Feedback: The first action should be to replace the dressing on the wound to decrease the client's level of anxiety. This client has severe anxiety; the priority is to lower the client's anxiety level.

Answer to Question 2

D
Feedback: Entering the client's visual field improves the client's ability to concentrate on the nurse and decreases the client's distractibility. Answers A, B, and C are not appropriate interventions to use with anxious clients.

[HCHenry]

Excellent

[gcook]

TYSM