Author Question: The nurse is bandaging the client's right knee. Where does the nurse begin the bandage? 1. Above ... (Read 110 times)

Yi-Chen · **on:** Jun 25, 2018

The nurse is bandaging the client's right knee. Where does the nurse begin the bandage?

1. Above the knee
2. Over the knee
3. At the top of the thigh
4. Below the knee

Question 2

When the nurse documents a client's wound, which is the best means of describing the wound?

1. Measuring the wound and documenting size
2. Comparing the wound to a universally understood object, such as a quarter or cashew
3. Using terms such as small, medium, or large
4. Taking a picture and inserting it into the record

Viet Thy · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 4

The bandage should be started distal to the joint to be protected, so it should be started below the knee and worked up the leg to improve venous return.

Answer to Question 2

Correct Answer: 1

The wound should be described in as objective a manner as possible to allow for continuity of care. An objective description allows successive care providers to evaluate changes. The most objective means of describing a wound is using measurements. If measurement is not possible, comparing the wound to a universally understood object would be the next best means of describing the wound. Terms such as small, medium, or large have no universal meaning, and are very subjective. Taking a picture would require the client's signed consent. This is not usually done.