The nurse is preparing to assess a wound on a new admission on a medical–surgical unit. Which items should the nurse review in the medical record prior to assessing the client's wound?

Question

1. The cause of the wound
2. The length of time the wound has been present
3. The previous treatments and client responses
4. The equipment used by other nurses
5. The current medication list

Answer 1

1, 2, 3
Rationale 1: Prior to assessing a wound for any client, the nurse would review the medical record for the cause of the wound.
Rationale 2: Prior to assessing a wound for any client, the nurse would review the medical record for the length of time the wound has been present.
Rationale 3: Prior to assessing a wound for any client, the nurse would review the medical record for the previous treatments and client responses.
Rationale 4: The nurse would not review the medical record for the equipment used by other nurses. and the current medication list prior to assessing the client's wound.
Rationale 5: The nurse would not review the medical record for the current medication list prior to assessing the client's wound.
Global Rationale: Prior to assessing a wound for any client, the nurse would review the medical record for the cause of the wound, the length of time the wound has been present, and the previous treatments and client responses. The nurse would not review the medical record for the equipment used by other nurses and the current medication list prior to assessing the client's wound.