While caring for a client who has chronic osteomyelitis and wound drainage, which intervention is most important for the nurse to implement?
a. Cover the wound with a dressing.
b. Teach about the cause of the infection.
c. Monitor the erythrocyte sedimentation rate (ESR).
d. Prepare the client for hyperbaric oxygena-tion.
A
If an open wound is present in the hospital or long-term care setting, the client's treatment usually includes Standard Precautions for limiting infection by covering the wound. Teaching about the cause of the infection could prevent further episodes of infection, but does not take care of the current problem. The ESR just tells the health care provider that an inflammatory process is going on. Hyperbaric oxygenation is used only for clients with chronic, unremitting osteomyelitis. Covering the wound would be the most important step for the nurse to take first.
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