The nurse provides discharge instructions to a client with a graft site on the right leg. Which statement, if made by the client, would indicate the need for further instruction?
  1. “I will elevate and immobilize the graft site.”
  2. “Weight bearing is allowed to reduce edema and maintain the leg’s strength.”
  3. “Fabric softeners and harsh detergents should be avoided.”
  4. “I should avoid wearing shorts when going outside during the day.”
Explanation
Answer - B - The graft site must be free from pressure and should be immobilized; therefore, weight bearing must be avoided. The graft site must also be protected from harsh materials or ingredients and sunlight.
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