HESI MED SURG Form B | Questions and Answers Graded A [score 100% ]QURANTEED

1. The nurse is caring for a patient with a wound. The patient appears anxious as the nurse is preparing to change the dressing. Which actionshould the nurse take? a. Turn on the television. b. Explain the procedure. c. Tell the patient “Close your eyes.” d. Ask the family to leave the room. ANS: B Explaining the procedure educates the patient regarding the dressing change and involves him in the care, thereby allowing the patient somecontrol in decreasing anxiety. Telling the patient to close the eyes and turning on the television are distractions that do not usually decrease a patient’s anxiety. If the family is a support system, asking support systemsto leave the room can actually increase a patient’s anxiety. 2. The nurse is cleansing a wound site. As the nurse administers theprocedure, which intervention should be included? Allow the solution to flow from the most contaminated to the least a. contaminated. b. Scrub vigorously when applying noncytotoxic solution to the skin.