A nurse prepares to discharge a client who has a wound and is prescribed home health care. Which information should the nurse include in the hand-off report to the home health nurse?

Correct Answer: A

Rationale: The hospital nurse should provide details about the wound, including size and appearance, in the hand-off report.

Correct Answer: A

Rationale: Because the patient will be receiving antibiotics to treat the pneumonia, the nurse should be most concerned about her history of allergic rashes. The nurse needs to do further assessment of possible causes of the allergic rashes and whether she has ever had allergic reactions to any drugs, especially antibiotics. The assessment data in the other response would be normal for an older patient.

Correct Answer: C

Rationale: The eyes should be shielded from UV light (UVL) during and after PUVA therapy to prevent the development of cataracts. The patient should be taught about the effects of UVL on unaffected skin, but lead-lined drapes, use of antiseptic soap, and petroleum jelly are not used to prevent skin damage.

Correct Answer: B

Rationale: Cleaning wounds daily directly addresses impaired skin integrity by preventing infection and promoting healing.

Correct Answer: D

Rationale: Post-surgical site care prevents infection and promotes healing, a key discharge instruction.