Which is the appropriate initial intervention for the nursing diagnostic statement Impaired skin integrity related to poor wound healing?
A) Reinforce the wound dressing as needed with 4 ´ 4 gauze.
B) Perform the ordered dressing change twice daily.
C) Document wound characteristics.
D) Assess wound appearance each shift.

Question

Quizplus · Accepted Answer

The most appropriate initial intervention is to assess the wound.Assessment guides the type and order of other interventions.The nurse must assess the wound first before the findings can be documented.

Which Is the Appropriate Initial Intervention for the Nursing Diagnostic