A patient, being treated for necrotizing fasciitis, has signs of granulation tissue appearing in a large abdominal wound. The nurse realizes that the best approach that will heal this patient's wound would be
1. wet to dry dressings.
2. twice day wound irrigations followed with a dry dressing.
3. split thickness skin graft.
4. application of a topical antiseptic and left open to air.
3
Rationale: Once systemic manifestations of the infectious process associated with necrotizing fasciitis disappear, healthy granulation tissue appears. The next phase is to restore dermal and fascial integrity and the best way to achieve wound closure rapidly and safely is with split thickness skin grafts. Skin is taken from a donor site and placed on healthy granulation tissue to cover the defect. This wound is too extensive to use wet to dry dressings, wound irrigations, dry dressings, or the application of a topical antiseptic and left open to air.
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An appropriate tool to use when assessing level of pain in young children is to:
A) Ask them to point to where it hurts. B) Ask them to describe the pain on a scale from 0 to 10. C) Ask them to draw a picture of the hurt. D) Ask then to use a FACES scale to describe the pain.
When translation of a scale is anticipated, steps the researcher should take to ensure an accurate translation include:
A) Using colloquialisms in the original language B) Using specific words rather than ones open to interpretation C) Writing in the passive voice and past tense D) Using words with a Latin root if the target language is German
The nurse is reviewing the functions of the hospital support departments with new employees
Based on information provided, which employee gave the best response to which support service handles the processing of entry and exit of clients in a healthcare facility? A) Palliative care service B) Administration department C) Intermediate care department D) Admissions department
The home care assistant should observe and document the
A) client's skin condition. B) cleanliness of the home. C) complaints and family issues. D) meal preparations and food supply.