A client is being discharged and will need to perform wound care and dressing changes in the home on a large, open wound

When designing a teaching plan for discharge, the nurse should include which of the following elements? (Select all that apply)
a. A videotape of the wound care procedure if possible
b. Appropriate ways to irrigate the wound
c. Cost of wound care supplies
d. Detailed written instructions
e. Types of supplies the client will need


A, B, D, E
A videotape of wound care would be very helpful for the client once he/she is home. Contact the facility's biomedical communications department for assistance if the client or family does not have a video camera. All the steps in wound care should be covered, including cleansing and ir-rigating the wound and applying dressings properly. The client will need a list of supplies, but the cost of supplies is not essential. Detailed written instructions will be helpful also, but ensure the client and/or family can read.

Nursing

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a. 40 mm Hg c. 18 mm Hg b. 25 mm Hg d. 12 mm Hg

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The most significant challenge experienced by a patient with hearing loss who is adapting to using a hearing aid for the first time is:

A) Regulating the tone and volume B) Learning to cope with amplification of background noise C) Minimizing irritation of the external auditory canal D) Keeping the hearing aid clean while minimizing exposure to moisture

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A young school-age client who has had a tracheostomy for several years is scheduled to begin school in the fall. The teacher is concerned about this child's being in her class and consults the school nurse

Which action by the nurse is the most appropriate? 1. Make arrangements for the child to go to a special school. 2. Ask the parents of the child to provide a caregiver during school hours. 3. Recommend that the child be home schooled. 4. Teach the teacher how to care for the child in the classroom.

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Ans: b, c, d

a. Facilitation of interprofessional care b. Improved client compliance with medical regimens c. Cost savings to the agency d. Compliance with JCAHO standards

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