ATI NCLEX-PN Practice Questions Practice Question
The home health nurse is assessing a client diagnosed with congestive heart failure who has a slice of raw potato on a carbuncle on the abdomen. Which action should the nurse implement first?
Correct Answer: B
Rationale: Asking the client to explain the presence of the raw potato on the boil is essential for understanding their beliefs and practices regarding wound care. This approach fosters communication and allows the nurse to address any misconceptions.
Explaining that raw potatoes should not be placed on boils (Option A) is important, but it is more effective after understanding the client's reasoning. Cleansing the wound and assessing for infection (Option C) is necessary but should follow the initial assessment of the client’s perspective. Leaving the potato in place (Option D) ignores the opportunity for education and may worsen the situation.
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