Question

Working with parents in preparation for discharge of a hospitalized child who will need to have wet to dry dressing changes performed at home will require that the nurse include which element in the plan of care?

a. Arrange for home health nurse to change dressings as the parents may not understand the complexity of the task.
b. Arrange for a step by step training sequence for wet to dry dressing changes with the parents of the child with return demonstration to evaluate understanding.
c. Provide the parents with a detailed instruction sheet regarding the dressing change procedure as the method of instruction.
d. Arrange for follow up with the child's pediatrician prior to the next scheduled dressing change so that the parents can receive further instruction.

Answer 1

The best discharge plan for a child requiring wet to dry dressing changes involves arranging a step by step training sequence with direct supervision from a registered nurse, ensuring that parents are well-prepared to perform the task at home.

Step-by-step explanation:

The question is regarding the discharge planning for a child who will be requiring wet to dry dressing changes at home. The correct element to include in the plan of care to ensure that the parents are prepared to perform the dressing changes is to arrange for a step by step training sequence for wet to dry dressing changes with the parents of the child, which includes a return demonstration to evaluate understanding. The parents should receive direct supervision of a registered nurse during the training to ensure they understand each part of the process. This direct supervision and hands-on training ensure that the parents are competent in performing the task at home, maintaining sterility, and responding to any needs or issues that may arise during the dressing changes.