A nursing assistant reports seeing a reddened area on the patient's hip while bathing the patient. The nurse should:
Document the finding per the nurse assistant's report
Request a wound nurse consult
Ask the nursing assistant to apply a dressing over the reddened area
Go to the patient's room to assess the patient's skin
The Correct Answer is D
A. Documenting without assessing first can overlook the need for immediate intervention.
B. A consult may be needed later, but initial assessment is critical.
C. The nursing assistant should not apply a dressing without the nurse's assessment.
D. Directly assessing the reddened area allows the nurse to determine the appropriate intervention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Accommodating the patient's preference fosters a positive therapeutic relationship and respects her autonomy.
B. Insisting on a "normal" routine may lead to resistance and decreased trust.
C. Education about hygiene is valuable, but should be tailored to patient preferences.
D. Skipping hygiene entirely is not appropriate; it’s better to find a compromise.
Correct Answer is A
Explanation
A. Understanding physical growth and development is critical for providing appropriate care throughout different life stages.
B. Cognitive development varies widely and cannot be definitively predicted solely based on biophysical theories.
C. While social behaviors are important, they are not the primary focus of biophysical theories.
D. Psychological development is a different domain that overlaps but is not the primary concern of biophysical theories.
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