The nurse is caring for a young patient with a large wound on the arm from necrotizing fasciitis. Which statement should the nurse make to support the patient's psychological adjustment to the wound?
1. "I think this wound makes you look dashing.".
2. "What is the best time for you to have your dressing changed?"
3. "I told your mother that she probably shouldn't look at the wound yet.".
4. "Let's let your family participate in the next dressing change.".
2
Rationale 1: The nurse should offer frank information about the appearance of the wound. This statement dismisses the patient's concerns.
Rationale 2: Allowing the patient to set the time for the dressing change gives the patient some control over the situation.
Rationale 3: The patient should decide when others can look at the wound. The nurse's statement suggests there is something about the wound that should be hidden.
Rationale 4: The nurse should provide privacy during dressing changes until the patient is ready to reveal the injury to others.
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