The nurse is caring for a patient in skin traction. When communicating with the healthcare provider about the patient's condition, which approach demonstrates effective nursing communication?
Sending a text message to the healthcare provider.
Speaking in medical jargon during the conversation.
Using a clear and concise verbal report.
Providing the healthcare provider with outdated patient data.
The Correct Answer is C
Using a clear and concise verbal report is an effective approach to nursing communication. It allows for the efficient transfer of essential patient information to the healthcare provider.
a. Sending a text message to the healthcare provider may not be appropriate for discussing patient information as it may not be secure and may lack important details.
b. Speaking in medical jargon during the conversation can lead to miscommunication and misunderstandings between the nurse and the healthcare provider.
d. Providing the healthcare provider with outdated patient data is not effective in patient care and may lead to incorrect decision-making.
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Correct Answer is D
Explanation
Visible signs of skin breakdown under the traction tape require immediate intervention. It indicates that the skin is compromised, and the patient is at risk of developing pressure ulcers or skin breakdown. Prompt action is necessary to prevent further damage and ensure patient safety.
a. Slight redness at the site of the traction tape may be expected, and the nurse should monitor for any signs of worsening or discomfort. It does not require immediate intervention unless it progresses.
b. Mild discomfort during movement of the affected limb is common with skin traction, and the nurse should assess for any signs of worsening or intolerable pain.
c. Pain rated as 6 out of 10 on the pain scale should be addressed, but it does not require immediate intervention unless it is associated with other concerning signs or symptoms
Correct Answer is D
Explanation
Deep tissue damage with visible blisters requires immediate intervention. It indicates that the skin is compromised, and the patient is at risk of developing pressure ulcers or skin breakdown. Prompt action is necessary to prevent further damage and ensure patient safety.
a. Slight redness at the site of the traction tape may be expected, and the nurse should monitor for any signs of worsening or discomfort. It does not require immediate intervention unless it progresses.
b. Minor irritation from the traction device can be managed by ensuring proper padding and positioning of the device. It is not a critical concern unless it worsens or leads to more severe skin issues.
c. Mild itching around the traction area may be common, but the nurse should assess for any signs of infection or allergic reaction. Immediate intervention is not typically required for mild itching.
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