A client does not understand why vision loss due to glaucoma is irreversible. What is the nurse's best explanation?

Choice A reason: Primary intention is the correct answer, because it is the type of wound healing that occurs when the wound edges are approximated and closed with sutures, staples, or glue. Primary intention is the fastest and most effective way of wound healing, as it minimizes tissue loss, infection, and scarring.

Choice B reason: Secondary intention is not the correct answer, because it is the type of wound healing that occurs when the wound edges are not approximated and left open to heal by granulation, contraction, and epithelialization. Secondary intention is the slowest and least effective way of wound healing, as it results in more tissue loss, infection, and scarring.

Choice C reason: Tertiary intention is not the correct answer, because it is the type of wound healing that occurs when the wound edges are initially left open and then closed with sutures, staples, or glue after a period of time. Tertiary intention is a delayed form of primary intention, and it is used when the wound is contaminated, infected, or requires drainage.

Choice D reason: Binary intention is not the correct answer, because it is not a real term for wound healing. Binary intention is a madeup term that does not describe any specific process or outcome of wound healing.

Choice A reason: Inspecting the client's skin is the nurse's priority, because it is the most urgent and relevant action. Inspecting the client's skin can help identify any signs of infection, injury, or infestation, such as wounds, rashes, ulcers, or lice. The client's skin may be compromised by the lack of hygiene, exposure to the elements, or poor nutrition. The client's skin may also be a source of transmission of pathogens to other clients or staff. Therefore, inspecting the client's skin is essential for the assessment, diagnosis, and treatment of the client's condition.

Choice B reason: Providing a towel and showing the client to the shower is not the nurse's priority, because it is not the most urgent and relevant action. Providing a towel and showing the client to the shower is an important intervention, but it should be done after inspecting the client's skin and ensuring the safety and infection prevention of the client and others. The client may have wounds, rashes, or ulcers that need to be cleaned, dressed, or treated before bathing. The client may also have lice or scabies that need to be isolated and treated with special shampoos or creams before bathing. The client may also need assistance or supervision during bathing, depending on the client's physical and mental status.

Choice C reason: Asking if the client has been to a homeless shelter recently is not the nurse's priority, because it is not the most urgent and relevant action. Asking if the client has been to a homeless shelter recently is an important question, but it should be done after inspecting the client's skin and providing a towel and showing the client to the shower. The client's history of homelessness and shelter use may provide some information about the client's social and environmental factors, such as exposure to violence, abuse, or disease, or access to resources, services, or support. However, this information is not as critical as the client's skin condition, which may require immediate attention and care.

Choice D reason: Calling a social worker is not the nurse's priority, because it is not the most urgent and relevant action. Calling a social worker is an important referral, but it should be done after inspecting the client's skin, providing a towel and showing the client to the shower, and asking if the client has been to a homeless shelter recently. The social worker can help the client with the psychosocial and practical aspects of homelessness, such as finding a shelter, applying for benefits, accessing health care, or addressing mental health or substance abuse issues. However, this referral is not as urgent as the client's skin condition, which may require immediate attention and care.