Exhibits

Complete the diagram by dragging from the choices area to specify which type of exercises the client needs, two actions the nurse should take to facilitate the exercises, and two parameters the nurse should monitor to assess the client's progress.

D. The Situation, Background, Assessment, and Recommendation (SBAR) format of communication is commonly used in healthcare settings to facilitate effective and concise communication, especially when reporting critical information.
A. While effective communication is essential during discharge teaching to ensure that the client and family members understand the instructions and follow-up care, the SBAR format is not typically used in this context.
B. When offering therapeutic support and comfort to a grieving family, the focus is on empathy, active listening, and providing emotional support.
C. When obtaining clarification from a client's healthcare power-of-attorney, it's important to ensure that information is communicated accurately and any questions or concerns are addressed.

A. A well-approximated incision site refers to the edges of the surgical incision being closely aligned and in good alignment with minimal separation.
This finding is indicative of proper wound closure and initial stages of healing. It suggests that the wound edges are healing together, which is essential for preventing complications such as infection and promoting optimal wound healing.
B. Beefy red granulation tissue is a sign of the proliferative phase of wound healing. It appears as healthy, pinkish-red tissue that fills in the wound bed.
Granulation tissue consists of new blood vessels, fibroblasts, and connective tissue, and it serves to support wound healing by providing a scaffolding for tissue repair and promoting angiogenesis (formation of new blood vessels).
While the presence of granulation tissue is a positive sign indicating that the wound is progressing through the healing process, it typically occurs later in the healing timeline, beyond the initial one- week post-surgery period.
C. Eschar and slough are non-viable tissue components that can be present in a wound. Eschar is typically dry, black, or brown necrotic tissue, while slough is moist, yellow, or white necrotic tissue.
The presence of eschar and slough in a wound indicates that there is still non-viable tissue present that needs to be removed to facilitate healing.
D. Erythema (redness) and serosanguineous exudate (clear to blood-tinged fluid) are common findings in the early inflammatory phase of wound healing.
While some degree of erythema and serosanguineous exudate may be expected in the immediate postoperative period, especially within the first few days, persistent or increasing erythema and exudate beyond one week post-surgery may indicate inflammation or infection.