The nurse is preparing to assess a wound on a new admission on a ...

[clippers!]

The nurse is preparing to assess a wound on a new admission on a medical-surgical unit. Which items should the nurse review in the medical record prior to assessing the client's wound?
 
  Select all that apply.
 
  1. The cause of the wound
  2. The length of time the wound has been present
  3. The previous treatments and client responses
  4. The equipment used by other nurses
  5. The current medication list

Question 2

The nurse is caring for a client with a fracture of cervical vertebrae 4. Which piece of equipment connects the client to traction for this type of injury?
 
  1. Pearson attachment
  2. Buck's extension
  3. Thomas splint
  4. Crutchfield tongs

[cpetit11]

Answer to Question 1

Correct Answer: 1,2,3

Prior to assessing a wound for any client, the nurse would review the medical record for the cause of the wound, the length of time the wound has been present, and the previous treatments and client responses. The nurse would not review the medical record for the equipment used by other nurses and the current medication list prior to assessing the client's wound.

Answer to Question 2

Correct Answer: 4

Crutchfield tongs connect to the skull and help to maintain stability of the fractured cervical vertebrae. Pearson attachment connects to a Thomas splint for leg traction. Buck's traction is used to stabilize the hip.