Tonya is preparing to change the dressing over Mr. Jacobs’ wound, and Mrs. Jacobs is present to observe. Tonya determines Mr. Jacob’s level of pain to be sure that he is comfortable. She decides to include discussion of wound and urinary catheter care during her time with the family. Before beginning instruction with the Jacobs, Tonya asks Mr. Jacobs if he is ready to learn about wound and catheter care. She observes Mr. and Mrs. Jacobs’ behaviors to note their receptivity to instruction. She prepares all of her supplies before the dressing change. She also assesses the condition of the dressing before she starts.

·          When Tonya asks Mr. Jacobs about his readiness for instruction, which aspect of the implementation process is she performing?

·         When changing Mr. Jacobs’ dressing, Tonya cleans the wound following clinical practice guidelines for her nursing unit and checks the incision for signs of infection. Explain the benefit of cleansing the wound on the basis of practice guidelines.

·         When Tonya begins instructing the Jacobs about wound care, what implementation skill most likely ensures good outcomes, specifically that the patient is able to learn how to change his dressing correctly at home?