A nurse assesses a client who has a chronic wound. The client states, "I do not clean the wound and change the dressing every day because it costs too much for supplies." How should the nurse respond?
a. "You can use tap water instead of sterile saline to clean your wound."
b. "If you don't clean the wound properly, you could end up in the hospital."
c. "Sterile procedure is necessary to keep this wound from getting infected."
d. "Good hand hygiene is the only thing that really matters with wound care."
ANS: A
For chronic wounds in the home, clean tap water and nonsterile supplies are acceptable and serve as cheaper alternatives to sterile supplies. Of course, if the wound becomes grossly infected, the client may end up in the hospital, but this response does not provide any helpful information. Good handwashing is important, but it is not the only consideration.
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a. Directive style. b. Supportive style. c. Participative style. d. Achievement style.
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