The nurse performs a dressing change for the client a wound vacuum assisted closure (VAC). Which does the nurse implement to facilitate wound healing?

1. Cuts foam smaller than wound edges
2. Uses black foam to reduce client pain
3. Limits granulation tissue with PVA foam
4. Maintains VAC tubes in alternating places


4
4. The nurse changes the tubing placement frequently to prevent new skin breakdown and aggravation of impaired tissue.
1. The nurse cuts the PU or PVA foam to fit the entire wound bed, including tunnels and undermined areas because the VAC cannot facilitate wound healing if it cannot reach the damaged tissue.
2. The nurse uses white foam, PVA, to reduce client pain produced from wound con-traction.
3. White PVA foam, soft dense foam with finer pores, limits the amount of negative pressure to the wound bed and thereby limits granulation tissue growth.

Nursing

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What is a normal heart rate for a 3 year old?

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