Question

An older adult client's venous ulcer has become foul-smelling after the client began using strips of a sheet to dress the wound due to running out of sterile dressing supplies. How should the nurse document a nursing diagnosis statement related to this client's circumstances?A. Acute Confusion related to appropriate wound care Knowledge.
B. Deficit due to risk for infection.
C. Risk for sepsis related to local infection.
D. Risk for Infection related to knowledge deficit.

Answer 1

Answer:

D) Risk for Infection related to knowledge deficit.

Explanation:

A wound caused by abnormal or damaged veins on the leg or ankle. Venous ulcers are due to failure in the vein. Side effects include swelling, swollen and leg exhaustion. A red, irritated skin rash tends to develop to an open wound.

Improper sanitation during treatment of venous ulcer as exhibited by the patient can lead to infections.

Answer 2

Answer:

D. Risk for Infection related to knowledge deficit.

Explanation:

Venous ulcer can be described as the wounds that are believed to have occur due to poor blood circulation resulting from improper functioning or damage to the venous valves.

Some of the treatments that can be adopted in treating  venous ulcer, specifically leg ulcers are legs elevation, aspiring therapy , dressings among others.

In this case, the foul smelling  from the part shows a sign of infection. And this can be linked to the usage of the strips of a sheet which is not sterile to dress, after exhausting the sterile dressing supplies. This is due to lack of knowledge on the part of the client, because it should have known that infection will creep in if he/she uses sheets that are not sterile for dressing.