A client with a severe pressure ulcer is being considered for surgical intervention. What should the nurse educate the client about regarding this potential treatment?
"Surgery will not be needed for your wound.".
"Surgery may involve removing damaged tissue.".
"You'll need antibiotics after the surgery.".
"Surgery will only address surface issues.".
The Correct Answer is B
Choice A rationale:
Informing the client that surgery will not be needed for their severe pressure ulcer is not accurate and does not provide the necessary information for the client.
Surgical intervention may be required for severe pressure ulcers, especially when conservative treatments have been unsuccessful.
Choice B rationale:
Educating the client that surgery may involve removing damaged tissue is an important aspect of preparing them for potential surgical intervention.
Surgical debridement may be necessary to remove necrotic or infected tissue and promote wound healing.
Choice C rationale:
Informing the client that they'll need antibiotics after surgery is not universally applicable to all cases of pressure ulcer surgery.
Antibiotics may be prescribed if there is an infection, but this depends on the individual case and should be determined by the healthcare provider.
Choice D rationale:
Stating that surgery will only address surface issues is not accurate.
Surgical interventions for severe pressure ulcers can involve debridement of necrotic tissue, closure of the wound, and sometimes reconstructive procedures.
The extent of surgery depends on the depth and severity of the ulcer.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
Choice A rationale:
"Frequent repositioning of the patient." Frequent repositioning is crucial in preventing pressure ulcers.
It helps redistribute pressure on vulnerable areas, reducing the risk of tissue ischemia and damage.
Choice B rationale:
"Maintaining a dry and clean skin surface." Keeping the skin clean and dry is essential in preventing pressure ulcers.
Moisture can contribute to skin breakdown, so maintaining dryness helps preserve skin integrity.
Choice C rationale:
"Applying pressure-relieving cushions or devices." Using pressure-relieving cushions or devices can help distribute pressure more evenly and reduce the risk of pressure ulcers in bedridden patients.
Choice D rationale:
"Increasing the intake of sugar-rich foods." This choice is not appropriate for preventing pressure ulcers.
Increasing sugar-rich foods can lead to complications such as diabetes and should not be a part of pressure ulcer prevention strategies.
Choice E rationale:
"Encouraging immobility in bedridden patients." Encouraging immobility is not a recommended strategy for preventing pressure ulcers.
Immobility increases the risk of pressure ulcers, and caregivers should aim to promote mobility and reposition patients regularly.
Correct Answer is ["A","C","D","E"]
Explanation
Choice A rationale:
Optimizing nutrition and hydration (Choice A) is a crucial intervention for preventing pressure ulcers.
Proper nutrition supports tissue health and wound healing.
Dehydration and malnutrition can increase the risk of developing pressure ulcers or exacerbate existing ones.
Choice B rationale:
Administering antibiotics prophylactically (Choice B) is not a routine intervention for preventing pressure ulcers.
Antibiotics should be used to treat infections when they occur but should not be given prophylactically unless there are specific clinical indications.
Choice C rationale:
Promoting mobility and activity (Choice C) is an effective strategy for preventing pressure ulcers.
Regular position changes and mobility exercises help relieve pressure on vulnerable areas of the skin, reducing the risk of pressure ulcers.
Choice D rationale:
Using appropriate support surfaces and equipment (Choice D) is essential for preventing pressure ulcers in patients at risk.
Support surfaces, such as pressure-reducing mattresses, can help distribute pressure evenly and reduce the risk of tissue damage.
Choice E rationale:
Educating patients, caregivers, and healthcare professionals on prevention strategies (Choice E) is a vital component of pressure ulcer prevention.
Proper education helps raise awareness and ensures that everyone involved in patient care understands the importance of preventive measures.
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