When assessing a client with a new contaminated wound,which is the most important factor for the nurse to assess?

Question

Quizplus · Accepted Answer

When assessing a client with a new contaminated wound, the most important factor for the nurse to assess is when the client last had a tetanus toxoid. This is because a contaminated wound puts the client at risk for developing tetanus, which is a serious and potentially life-threatening infection. Therefore, the nurse should determine if the client needs a tetanus shot or booster to prevent this complication. The cleanliness of the object that caused the wound, the presence of rust on the object, and where the client was when the wound occurred are also important factors to assess, but they are not as urgent as determining tetanus status.

When Assessing a Client with a New Contaminated Wound,which Is