A client with a surgical wound on the abdomen has a negative pressure wound therapy (NPWT) device attached to the wound. Which action should the nurse take when caring for this client?

Change the dressing every 12 hours or as needed.

Irrigate the wound with normal saline before applying the dressing.

Ensure that the dressing is sealed and airtight around the wound.

Clamp the tubing when ambulating or repositioning the client.

Answer and Explanation

The Correct Answer is C

Correct answer: C) Ensure that the dressing is sealed and airtight around the wound.

Rationale: Negative pressure wound therapy (NPWT) is a device that applies

subatmospheric pressure to the wound bed, which promotes granulation tissue formation, removes excess fluid and debris, and reduces edema and bacterial colonization. The nurse should ensure that the dressing is sealed and airtight around the wound to maintain negative pressure and prevent air leaks.

Incorrect options:

A) Change the dressing every 12 hours or as needed. - This is not recommended for NPWT, as frequent dressing changes can disrupt wound healing and increase the risk of infection. The nurse should change the dressing every 48 to 72 hours or as prescribed by the provider.

B) Irrigate the wound with normal saline before applying the dressing. - This is not recommended for NPWT, as irrigation can introduce bacteria into the wound and interfere with negative pressure. The nurse should clean the wound with normal saline or sterile water and pat it dry gently before applying the dressing.

D) Clamp the tubing when ambulating or repositioning the client. - This is not recommended for NPWT, as clamping can interrupt negative pressure and cause tissue damage. The nurse should secure the tubing to prevent kinking or dislodgment and keep the device below the level of the wound when ambulating or repositioning the client.

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Free Nursing Study Resources

Correct Answer is B

Explanation

Answer: B

Partial-thickness burn is a burn that involves the epidermis and part of the dermis. It causes blisters, pain, and redness. It may heal spontaneously or require skin grafting depending on the depth and extent of the injury.

A. Superficial burn is a burn that involves only the epidermis. It causes erythema, mild pain, and no blisters. It heals within a few days without scarring.

C. Full-thickness burn is a burn that involves the epidermis, dermis, and underlying tissues such as fat, muscle, or bone. It causes charred, white, or black skin, no pain, and loss of sensation. It requires skin grafting and may result in scarring and contractures.

D. Deep partial-thickness burn is a burn that involves the epidermis and most of the dermis. It causes white or red skin, severe pain, and decreased sensation. It may heal slowly or require skin grafting.

A. Primary intention B. Secondary intention C. Tertiary intention D. Quaternary intention

Correct Answer is A

Explanation

Answer: A

Primary intention is a type of wound healing that occurs when the edges of the wound are well approximated and there is minimal tissue loss or infection. It results in minimal scarring and fast healing.

B. Secondary intention is a type of wound healing that occurs when the edges of the wound are not approximated or there is extensive tissue loss or infection. It results in granulation tissue formation, contraction, and epithelialization. It takes longer to heal and may result in scarring and infection.

C. Tertiary intention is a type of wound healing that occurs when there is a delay in closing the wound or when the wound is intentionally left open for drainage or debridement. It results in less scarring than secondary intention but more than primary intention.

D. Quaternary intention is not a valid term for wound healing.

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A client with a surgical wound on the abdomen has a negative pressure wound therapy (NPWT) device attached to the wound. Which action should the nurse take when caring for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is admitted with a burn injury that involves the epidermis and part of the dermis. The nurse knows that this type of burn is classified as:

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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