NCLEX-RN

Category - Care Management

Nina the New Nurse is discharging a client home. The client has been recovering from second and third degree burns to both legs, right trunk, and right arm sustained in an automobile accident. Which of the following statements would indicate to Nina the New Nurse that her client understands the discharge teaching?
  1. “If I wear the pressure stockings, it will help keep the scarring down.”
  2. “I am so glad to be done with physical therapy!”
  3. “My fear of contractures is not reality-based. I would already have contractures if it was going to happen.”
  4. “I should only wear the pressure garment at night.”
Explanation
Answer: A - The client is expressing correct understanding of the purpose of the pressure stockings. Physical therapy is generally required post-discharge daily or several times per week until full recovery. Contractures are a possibility until full recovery (usually about one year). Pressure garments are prescribed by the physician, and are usually removed for bathing only.
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