The nurse performs a dressing change for a patient with a negative-pressure wound therapy device. Which step does the nurse implement to facilitate wound healing?
a. Cuts the foam smaller than wound edges
b. Uses black foam to prevent granulation tissue from forming
c. Determines if the patient needs pain me-dication before beginning the procedure
d. Checks the dressing to ensure that the negative-pressure wound therapy tubes are functioning
D
The nurse checks the dressing and tubing placement frequently to prevent new skin breakdown and aggravation of impaired tissue. The foam is cut to fit the entire wound bed, including tunnels and undermined areas, because the therapy cannot facilitate wound healing if it cannot reach the damaged tissue. Black foam is used to assist in granulation tissue formation. Pain medication might be needed, but it does not affect wound healing unless the nurse can't manipulate the wound enough for a proper fit.
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