Question

The nurse has determined the following outcome for a client with a skin impairment: "Erythema will be reduced in 3 days." Evaluation will specifically focus on:

1. Selection of appropriate wound care
2. Notation of the odor and color of drainage
3. Inspection of the color and condition of the area
4. Measurement of the diameter of the ulceration daily

Answer 1

To evaluate the healing of skin impairment in a client, professionals focus on the inspection of color and condition of the area, measurement of the size of any ulcerations, and noting the odor and color of drainage.

Step-by-step explanation:

The nurse's stated outcome for a client with skin impairment is "Erythema will be reduced in 3 days." To evaluate the success of the treatment and the healing process, the focus would be on:

1. Inspection of the color and condition of the area: The improvement or reduction of erythema (redness) signifies proper healing.
2. Measurement of the diameter of the ulceration daily: Tracking changes in the size of ulceration helps to assess the healing progress.
3. Notation of the odor and color of drainage: This helps in identifying any infection or complications in the wound healing process.

The selection of appropriate wound care and observation of signs of infection (such as increased redness, swelling, and pain) are also vital as part of the continuous assessment of the client's condition. A decrease in erythema is an expected outcome and a positive sign of recovery.