A nurse is caring for a client who has multiple sclerosis and a chronic nonhealing wound. The nurse should recognize that which of the following types of medications is known to delay wound healing?
Anticholinergics
Corticosteroids
Beta-blockers
Tricyclic antidepressants
The Correct Answer is B
Choice A rationale
Anticholinergics are not typically associated with delayed wound healing. These medications affect the parasympathetic nervous system and are used to treat a variety of conditions, but they do not have a direct impact on the wound healing process.
Choice B rationale
Corticosteroids can delay wound healing. They are known to have anti-inflammatory properties, which can suppress the immune response necessary for wound healing. They also reduce the production of collagen and other proteins essential for tissue repair.
Choice C rationale
Beta-blockers are primarily used to manage cardiovascular conditions and are not known to have a significant impact on wound healing. They work by blocking the effects of adrenaline on the heart and blood vessels.
Choice D rationale
Tricyclic antidepressants are used to treat depression and certain types of pain. While they can have various side effects, they are not commonly associated with delayed wound healing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Abdominal pads are generally used for absorption and are not specifically designed to minimize pain during dressing changes.
Choice B rationale
Hydrogel dressings provide moisture to the wound, which can facilitate autolytic debridement and reduce pain during dressing changes. They are cooling and soothing, which can be comfortable for the patient.
Choice C rationale
Wet-to-dry dressings are used for mechanical debridement and can be painful when removed, as they may adhere to the wound bed and pull on new tissue.
Choice D rationale
Dry gauze can adhere to the wound and cause pain upon removal, similar to wet-to-dry dressings, and is not the best choice for minimizing pain.
Correct Answer is D
Explanation
Choice A rationale
Tegaderm or Opsite dressings are transparent and adhesive, allowing for wound inspection without removal, but they do not involve tape that remains in place for multiple changes.
Choice B rationale
Abdominal pads held in place with paper tape would require the tape to be removed and replaced with each dressing change, which can disrupt the skin.
Choice C rationale
The term ‘retention’ is incomplete and does not specify a type of dressing. Retention typically refers to the ability to keep something in place, such as a dressing, but does not imply that the tape remains in place.
Choice D rationale
Montgomery straps are designed with ties that attach to an adhesive base that remains on the skin. This allows the dressing to be changed without removing and reapplying tape, thus preventing skin disruption.
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