Nokea
Many factors aid in healing. You can assist the patient in improving their healing ability by encouraging the following (Select all that apply):
- A. Keeping skin and surrounding tissue clean and dry.
- B. Proper nutrition with adequate protein and vitamins.
- C. Resting as much as possible and keeping the incisional area still.
- D. Increasing fluid intake to at least 4000 mL per day.
- E. Exercise and deep breathing to increase oxygen.
Correct Answer: A,B,C,E
Rationale: A: Reduces infection risk. B: Supports tissue repair. C: Minimizes tension on the wound. E: Oxygen aids healing. 4000 mL (D) is excessive unless specified.
You may also like to solve these questions
Chronic wounds that are not healing well may benefit from (Select all that apply):
- A. Promoting protein in the diet.
- B. NPWT therapy.
- C. Wet-to-dry dressings.
- D. Hydrocolloid dressings.
- E. Tolerate pressure treatment.
Correct Answer: A,B,D
Rationale: A: Protein aids tissue repair. B: Negative Pressure Wound Therapy promotes healing. D: Hydrocolloids maintain moisture. Wet-to-dry dressings (C) can damage tissue.
A nurse is planning care for a client who has multiple wounds. During the initial stage of wound healing, which of the following should the nurse include in the plan of care?
- A. Apply oxygen at 2 L/min via nasal cannula.
- B. Initiate mechanical debridement.
- C. Leave non-bleeding wounds open to air.
- D. Administer a corticosteroid medication.
Correct Answer: A
Rationale: Oxygen supports the initial inflammatory stage by aiding cellular function, unlike corticosteroids, which delay healing.
A nurse explains that the major purpose of the use of a hydrocolloid dressing is to:
- A. Keep the wound dry.
- B. Leave the dressing in place for 7 days.
- C. Help destroy microorganisms in an infected wound.
- D. Promote a moist healing environment.
Correct Answer: D
Rationale: Hydrocolloid dressings maintain a moist environment to promote autolytic debridement and healing, not to dry the wound or kill microbes directly.
The patient is undergoing Negative Pressure Wound Therapy (NPWT) treatment for wound healing. Which would be your first priority in caring for this patient?
- A. Assess the patient for any complaints or problems in the wound area.
- B. Check the settings on the NPWT unit.
- C. Document your findings.
- D. Observe the dressing area.
Correct Answer: A
Rationale: Assessing the patient's condition first ensures any immediate issues (e.g., pain, leakage) are addressed.
A 28-year-old male patient at your clinic reports a minor motorcycle accident that occurred 5 days ago, resulting in several scrapes and wounds. The wound on his calf has a pinkish-red center area that appears bumpy. What does this indicate about the wound?
- A. Beginning to heal
- B. Suppurating
- C. Becoming infected
- D. Needs to be debrided
Correct Answer: A
Rationale: Pinkish-red, bumpy tissue indicates granulation, a sign of healing in the proliferative phase.