Which of the following nursing interventions should be planned to ...

[Coya19@aol.com]

Which of the following nursing interventions should be planned to minimize the stress and anxiety of hospitalization?
 
  1. Explain all procedures in detail before performing them.
   2. Let the client make the majority of decisions about the plan of care.
   3. Control the environment of healing.
   4. Demonstrate staff competence by using multiple nurses for care.

Question 2

The patient asks the nurse, I am having a debridement of my leg tomorrow. What does this mean? What is the most appropriate response by the nurse?
 
  a. You will be evaluated to see how the wound will respond to medications.
  b. You will be fitted for a dressing to wear permanently on your wound.
  c. You will need to ask the doctor what that means, I'm not really sure.
  d. You will have the dead, or necrotic, tissue removed from your leg. This procedure will help the wound heal.

[flannelavenger]

Answer to Question 1

3. Control the environment of healing.

Rationale:
The nurse is in charge of the environment of healing and should take responsibility for limiting noise, dimming lights at night, using minimal numbers of nurses to care for one client, and keeping the area clean and comfortable. Explaining all procedures in detail may overwhelm the client. Using short, clear sentences and explaining only enough to satisfy the client is a better plan. A client who is ill cannot be expected to make the majority of decisions about the plan of care, but should be allowed as much autonomy and choice as can be arranged and tolerated.

Answer to Question 2

D
Necrotic tissue delays the repair process because it prolongs the inflammatory phase. Necrotic tissue can contribute to infection by providing a medium for bacterial growth. Debridement is the removal of necrotic tissue to aid in wound healing.

[Coya19@aol.com]

Thanks for the timely response, appreciate it

[amandalm]

TYSM