A client calls the clinic and asks the nurse how to treat a skin injury. What questions should the nurse ask prior to formulating a response?
1. "How deep is the injury?"
2. "How large is the injured area?"
3. "How did the injury happen?"
4. "Did the injury happen over 3 hours ago?"
5. "Where is the injury?"
Correct Answer: 1,2,3,5
Rationale 1: The depth of injury is important in determining if treatment should be topical, systemic, or both.
Rationale 2: Size of skin injury is important in determining if the treatment should be topical, systemic, or both.
Rationale 3: The mechanism of injury is important in determining the potential for the injury to become infected.
Rationale 4: There is no specific length of time that would change therapy.
Rationale 5: The position of the injury is important in determining potential for infection.
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