Question

The nurse and patient have discussed goals and outcomes related to skin integrity and wound care. Which statement reflects a misunderstanding on the part of the patient?

Select all that apply.
"I will participate in position changes within 24 hours."
"I will be infection by the time I go home."
"I will consume nutrition adequate to meet nutritional requirements within 1 week."
"My wounds will show signs of healing, as evidenced by presence of granulation tissue in the wound within 1 week.

Answer 1

Option D. Two statements by the patient show misunderstandings about wound care: expecting to be infected at discharge and expecting granulation tissue in the wound within a week, which is not typical for a healing timeline.

Step-by-step explanation:

The statements made by the patient that reflect a misunderstanding of the goals and outcomes related to skin integrity and wound care are: "I will be infection by the time I go home." and "My wounds will show signs of healing, as evidenced by presence of granulation tissue in the wound within 1 week."

The first incorrect statement suggests that the patient expects to be infected by discharge, which is opposite to the goal of healing and preventing infection. The second statement misunderstands the healing timeline, as significant wound healing and the development of granulation tissue usually take longer than a week.

It's important for patients to understand that healing is a process that involves tissue repair, removal of toxins, blood clotting, and in cases of large wounds, possibly sutures and eventual scar formation through either primary or secondary union.