The patient has a large, deep wound on the sacral region. The nurse correctly packs the wound by doing which one of the following?
a. Filling two-thirds of the wound cavity
b. Leaving saline-soaked folded gauze squares in place
c. Putting the dressing in very tightly
d. Extending only to the surface of the wound
D
Feedback
A The wound should be packed to the upper edge of the wound to prevent dead space and the formation of abscesses.
B The gauze should be saturated with the prescribed solution, wrung out, unfolded, and lightly packed into the wound.
C The wound should not be packed too tightly. Overpacking the wound may cause pressure on the tissue in the wound bed.
D The wound should be packed only until the packing material reaches the surface of the wound. Wound packing that overlaps onto the wound edges may cause maceration of the tissue surrounding the wound.
You might also like to view...
A patient is diagnosed with septic shock and has a decrease in afterload. The nurse would expect which initial changes in the patient's cardiac status?
1. Increase in cardiac output 2. Increase in blood pressure 3. Decrease in cardiac output 4. Decrease in blood pressure 5. No change in blood pressure or cardiac output
An infant is admitted to your unit. You are required to weigh each infant on admission. You understand that this is required because:
a. You cannot trust the information given by the parents b. The weight was not recorded in the emergency department c. The weight is necessary in determining dosage of medications d. The weight may not have been measured by a nurse at the doctor's office
The physician approaches the client with a treatment plan for his cancer. The client states that his life is in God's hands and refuses conventional treatment. This is an example of:
A) Fatalistic behavior B) Denial C) Anger D) Bargaining
The credentials that will be evaluated when on initial interview are
a. nursing license. b. list of references. c. permission for drug screen. d. All of the above