The best entry for documentation of a client's wound is:
A. "Wound healing well."
B. "Wound appears clean and dry."
C. "Wound 3 cm in diameter, no drainage noted."
D. "Wound edges appear to be coming together."
C
C. The use of exact measurements and clearly stating that there is no drainage provide accuracy in the documentation.
A. There is no size and no definition of healing well, and the entry lacks essential information about the wound.
B. The statement has no definition of clean and dry and lacks essential information about the wound.
D. The statement lacks essential information about the wound, size, drainage, and description of the wound edges.
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The nurse caring for a client diagnosed with disseminated intravascular coagulation would expect which of the following assessment findings in this client?
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