A nurse is performing a wet-to-dry dressing change on a stage IV pressure ulcer. What is the purpose of this type of dressing?
a. Keep the wound moist.
b. Prevent infection.
c. Débride necrotic tissue.
d. Increase circulation to the tissue.
C
Wet-to-dry dressings and a whirlpool are used for small amounts of débridement of necrotic tis-sue. Débridement is necessary to promote granulation of new, healthy tissue.
You might also like to view...
A patient explains a lack of interest in sex since her spouse passed away 3 years ago. After completing the health history what would the nurse suspect as contributing to the patient's lack of interest in sex?
A) Prescribed antidepressants for sadness B) Change in the patient's Medicare benefits C) Participating in arthritis swimming classes D) Reduced intake of red meat and carbohydrates
A postoperative client is transferred to the medical-surgical unit from the intensive care unit (ICU). The client asks the assigned nurse why unlicensed assistive personnel (UAP) help with range-of-motion exercises. Which is the best response by the nurse
A) "Your condition has improved so I delegated that part of your care to the UAP." B) "You do not need me to ambulate you." C) "The charge nurse made the decision to have the UAP assist you when walking." D) "I assigned all of your care to the UAP."
The patient is admitted with severe abdominal pain due to pancreatitis. The patient asks the nurse, "What causes this? Why does it hurt so much?" The nurse should Answer:
a. "Pancreatitis is extremely rare and no one knows why it causes pain." b. "Pancreatitis is caused by diabetes; you should be checked." c. "Injury to certain cells in the pancreas causes it to digest (eat) itself, causing pain." d. "The pain is localized to the pancreas. Fortunately, it will not affect anything else."
Which statement by a patient indicates to the nurse that more teaching is needed about the phases of HBV infection?
A) "Chronic infection is the immune tolerant phase." B) "In the immune active phase I will be HBsAg positive." C) "I will be HBcAb positive in all phases." D) "I will develop HBeAb in the inactive phase."