The nurse is assessing the episiotomy of a client who is 2 days postpartum. In which order should the nurse complete this assessment? A. Edema B. Redness C. Ecchymosis D. Approximation E. Discharge/drainage
1. B, A, C, E, D
2. A, B, D, E, C
3. B, A, D, E, C
4. D, E, C, B, A
1
Explanation:
1. If an episiotomy was done or a laceration required suturing, the nurse assesses the wound. To evaluate the state of healing, after inspecting the wound for redness, the nurse inspects the wound for edema.
2. If an episiotomy was done or a laceration required suturing, the nurse assesses the wound. To evaluate the state of healing, the nurse first inspects the wound for redness.
3. If an episiotomy was done or a laceration required suturing, the nurse assesses the wound. To evaluate the state of healing, after inspecting the wound for edema the nurse inspects the wound for ecchymosis.
4. If an episiotomy was done or a laceration required suturing, the nurse assesses the wound. To evaluate the state of healing, after inspecting the wound for discharge/drainage the nurse inspects the wound for approximation.
5. If an episiotomy was done or a laceration required suturing, the nurse assesses the wound. To evaluate the state of healing, after inspecting the wound for ecchymosis the nurse inspects the wound for discharge/drainage.
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