Question

The nurse enters the patient's room to begin teaching the patient about wound care management. The nurse notes that the patient is nauseated due to medication side effects. What are the priority actions of the nurse? (Select all that apply).

a. Begin teaching the patient about wound care management, taking care to avoid using terms that the patient might find upsetting.
b. Provide measures to relieve the patient's nausea and return to teach about wound care when the patient is feeling better.
c. Document in the patient's chart that teaching about wound care management was not done because the patient refused to learn.
d. Check the patient's order list to determine if antiemetic medication has been prescribed for the patient.
e. Apply a cold cloth to the patient's forehead and maintain a quiet, odor-free environment for the patient

Answer 1

The nurse's priority should be to provide comfort and relieve nausea, by offering measures such as antiemetic medication and an odor-free environment, before proceeding with education on wound care management.

Step-by-step explanation:

When the nurse notes that the patient is nauseated due to medication side effects, the priority actions of the nurse should focus on the patient's immediate comfort and safety. The appropriate actions would be to:

• Provide measures to relieve the patient's nausea and return to teach about wound care when the patient is feeling better.
• Check the patient's order list to determine if antiemetic medication has been prescribed for the patient.
• Apply a cold cloth to the patient's forehead and maintain a quiet, odor-free environment for the patient.

These actions prioritize the patient's immediate physical comfort and address the side effects of the medication before proceeding with teaching about wound care management.