Author Question: A client who is visiting from another country has had a lung biopsy and has been told that there is ... (Read 67 times)

viki · **on:** Jul 22, 2018

A client who is visiting from another country has had a lung biopsy and has been told that there is little hope for a good prognosis. The family is at the bedside and begins to moan and cry loudly.

The doctor has told the nurse that he needs to have the permit signed for surgery. The client has asked the nurse to allow the family private time. The best action by the nurse is which of the following? 1. Provide the client and family privacy
2. Ask the family to come back later
3. Have the doctor get the permit with the family present
4. Take the client to another room

Question 2

A client has a laceration that was closed with tissue adhesive. The nurse realizes this type of wound will heal by:

1. Primary intention.
2. Open approximation.
3. Secondary healing.
4. Delayed closure.

Andromeda18 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

1. Provide the client and family privacy

Rationale:
As the patient advocate, the nurse would allow this family to bond according to their customs. Asking the family to leave may cause extreme stress to the client and family. It would not be appropriate for the doctor to try to explain the surgery while the family is grieving. Taking the client to another room would deprive the client from participating in his family's customs.

Answer to Question 2

1. Primary intention.

Rationale:
In primary intention wound healing, the edges of these wounds are approximated and held together with sutures, bandages, or tissue adhesive. Scarring is minimal with these wounds. Secondary healing involves wounds that cannot be approximated and that must heal in.. These wounds are at higher risk for infection, take longer to heal, and are more prone to scarring. Open approximation or delayed closure wounds are left open for 3 to 5 days to allow edema or infection to resolve.