Question

A nurse is about to perform a wound irrigation on a client who had a left hemispheric stroke 1 year ago. which assessment is most important for the nurse to perform before beginning the irrigation?

Answer 1

A nurse is about to perform a wound irrigation on a client who had a left hemispheric stroke 1 year ago. Which assessment is most important for the nurse to perform before beginning the irrigation?
1 Neurologic
2 Wound
3 Pain
4 Skin
3 Pain

Assessment of pain must be performed before beginning a potentially painful procedure such as a wound irrigation. A neurologic check is not necessary unless the client's neurologic status has worsened since the stroke. Both skin and wound checks can be assessed once client comfort has been determined and handled.