The nurse is caring for a patient with a wound. The patient appears anxious as the nurse is preparing to change the dressing. Which action should the nurse take?
Tell the patient “close your eyes.”
Ask the family to leave the room.
Turn on the television.
Explain the procedure.
The Correct Answer is D
A. Telling the patient to close their eyes may not alleviate their anxiety and does not provide comfort or education.
B. Asking the family to leave could increase the patient's anxiety, especially if the family provides emotional support.
C. Turning on the television may distract the patient, but it doesn't address their anxiety.
D. Explaining the procedure helps reduce anxiety by informing the patient about what to expect, which promotes trust and understanding.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Telling the patient to close their eyes may not alleviate their anxiety and does not provide comfort or education.
B. Asking the family to leave could increase the patient's anxiety, especially if the family provides emotional support.
C. Turning on the television may distract the patient, but it doesn't address their anxiety.
D. Explaining the procedure helps reduce anxiety by informing the patient about what to expect, which promotes trust and understanding.
Correct Answer is ["A","B","C"]
Explanation
The client’s avoidance of looking at the stoma may indicate anxiety, denial, or emotional distress regarding their condition. This can hinder their ability to engage in self-care and proper management of the ileostomy. The nurse should address these feelings, provide emotional support, and encourage the client to participate in their care.
A lack of interest in learning about stoma care could lead to inadequate management of the ileostomy and increase the risk of complications. It is essential for the nurse to explore the reasons behind this statement, provide education, and emphasize the importance of self-care to promote independence and prevent potential complications.
Redness and open areas around the stoma suggest irritation or possible skin breakdown, which can lead to infection or complications if not treated promptly. The nurse should assess the condition of the skin, implement appropriate skin care measures, and educate the client on maintaining skin integrity around the stoma.
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