A nurse is assessing a client with a pressure ulcer on the sacrum. Which of the following factors would increase the risk of infection in the wound?

The presence of necrotic tissue

The use of hydrocolloid dressing

The frequency of wound irrigation

The application of topical antibiotics

Answer and Explanation

The Correct Answer is A

Answer: A.

The presence of necrotic tissue increases the risk of infection by providing a medium for bacterial growth and impairing wound healing. Necrotic tissue should be debrided to promote wound healing.

B. The use of hydrocolloid dressing is not a risk factor for infection. Hydrocolloid dressings are occlusive and adhesive, which create a moist environment that facilitates wound healing and prevents bacterial contamination.

C. The frequency of wound irrigation is not a risk factor for infection. Wound irrigation is done to cleanse the wound and remove debris and exudate. It should be done gently and with sterile solution to avoid trauma and contamination.

D. The application of topical antibiotics is not a risk factor for infection. Topical antibiotics are used to treat or prevent infection in some wounds. They should be used with caution and as prescribed, as overuse may lead to resistance or allergic reactions.

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Correct Answer is D

Explanation

Answer: D

Alginate dressing is a type of dressing that is made from seaweed fibers and is highly absorbent. It is suitable for wounds that have moderate to heavy exudate, as it can absorb up to 20 times its weight in fluid. It also forms a gel-like substance when in contact with wound fluid, which creates a moist environment that facilitates wound healing and autolytic debridement.

C. Foam dressing is a type of dressing that is made from polyurethane or silicone and is moderately absorbent. It is suitable for wounds that have light to moderate exudate, as it can absorb up to four times its weight in fluid. It also provides cushioning and insulation for the wound, and prevents bacterial contamination.

B. Hydrogel dressing is a type of dressing that is made from water or glycerin and is minimally absorbent. It is suitable for wounds that have minimal exudate, as it can only absorb up to 10% of its weight in fluid. It also provides hydration and cooling for the wound, and promotes autolytic debridement and granulation tissue formation.

A. Transparent film dressing is a type of dressing that is made from polyurethane and is non-absorbent. It is suitable for wounds that have no exudate, as it does not absorb any fluid. It also provides protection and visualization for the wound, and allows gas exchange and moisture vapor transmission.

A. The wound has increased in size B. The wound has decreased in drainage C. The wound has increased in pain D. The wound has decreased in granulation tissue

Correct Answer is B

Explanation

Answer: B

The wound has decreased in drainage is an outcome that would indicate that NPWT is successful. NPWT is a type of therapy that uses a vacuum device to apply negative pressure to the wound, which removes excess fluid, debris, and infectious material from the wound bed. This reduces edema, inflammation, and bacterial load, and promotes blood flow, oxygenation, and granulation tissue formation.

A. The wound has increased in size is an outcome that would indicate that NPWT is unsuccessful or harmful. NPWT should not cause wound enlargement, as this may indicate tissue damage, infection, or poor healing.

C. The wound has increased in pain is an outcome that would indicate that NPWT is unsuccessful or harmful. NPWT should not cause excessive pain, as this may indicate tissue damage, infection, or poor healing.

D. The wound has decreased in granulation tissue is an outcome that would indicate that NPWT is unsuccessful or harmful. NPWT should promote granulation tissue formation, as this indicates healthy wound healing.

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A nurse is assessing a client with a pressure ulcer on the sacrum. Which of the following factors would increase the risk of infection in the wound?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is applying a dressing to a wound that has moderate to heavy exudate. Which of the following types of dressing would be most appropriate for this wound?

Correct Answer is D

Explanation

A nurse is evaluating the effectiveness of negative pressure wound therapy (NPWT) on a client with a chronic wound. Which of the following outcomes would indicate that the therapy is successful?

Correct Answer is B

Explanation

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A nurse is assessing a client with a pressure ulcer on the sacrum. Which of the following factors would increase the risk of infection in the wound?

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