In a clinical setting, a patient with a chronic wound is scheduled for debridement. Which of the following is the primary purpose of wound debridement?

To increase blood flow to the wound site

To remove necrotic tissue to promote healing

To apply antibiotics directly to the wound

To prevent scar formation

Answer and Explanation

The Correct Answer is B

A. To increase blood flow to the wound site: While debridement may indirectly help improve blood flow by removing barriers to healing, its primary purpose is not to increase blood flow. Increased blood flow is a result of improved wound bed conditions rather than the main goal of the procedure.

B. To remove necrotic tissue to promote healing: The primary purpose of wound debridement is to remove necrotic (dead) or devitalized tissue from the wound bed. This process promotes healing by creating a clean wound environment, facilitating granulation tissue formation, and reducing the risk of infection, making this option the most accurate.

C. To apply antibiotics directly to the wound: While antibiotics may be part of the overall wound care plan, debridement itself is not intended for the direct application of antibiotics. The focus is on removing non-viable tissue rather than applying medications during the procedure.

D. To prevent scar formation: While proper wound care, including debridement, can help improve healing outcomes and potentially minimize scarring, the primary aim of debridement is not to prevent scars. Scarring is influenced by multiple factors, including the type of wound, depth, and individual healing responses.

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Correct Answer is D

Explanation

A. Encouraging the client to consume a high-protein diet: While a high-protein diet can support the client's immune system and promote healing, it does not directly prevent the transmission of infection. Nutritional support is important for recovery, but it is not a primary strategy for infection control.

B. Placing the client in a room with positive-pressure airflow: Positive-pressure airflow is typically used in rooms for immunocompromised patients to prevent exposure to airborne pathogens, not for clients with infections. Infected patients generally require isolation precautions, which may include negative-pressure rooms, especially for airborne or droplet precautions.

C. Changing the client's bed linens each day: Although maintaining clean linens is important for general hygiene and comfort, simply changing bed linens does not significantly prevent the transmission of infection. Effective infection control measures focus more on direct contact precautions and environmental cleanliness rather than the frequency of linen changes alone.

D. Performing hand hygiene before, during, and after direct contact with the client: Hand hygiene is one of the most effective strategies to prevent the transmission of infections in healthcare settings. Proper handwashing or use of alcohol-based hand rubs significantly reduces the risk of spreading pathogens and protects both the patient and healthcare providers from infections. This strategy is essential in breaking the chain of infection.

A. Have the client wear a mask. B. Wear a filtration mask and gloves during transport. C. Notify the x-ray department that the client requires airborne precautions. D. Ask the x-ray technician to come to the client's room to obtain a portable x-ray.

Correct Answer is A

Explanation

A. Have the client wear a mask: When transporting a client with active pulmonary tuberculosis, having the client wear a surgical mask helps to contain respiratory droplets and reduce the risk of airborne transmission to others in the facility. This is an important measure to help prevent the spread of TB while the client is being moved through the hospital.

B. Wear a filtration mask and gloves during transport: While the nurse should wear a fitted N95 respirator or a similar filtration mask and gloves when interacting with the patient, the focus of the question is on the precautions for transporting the client. This option does not address the client's role in protecting others during transport.

C. Notify the x-ray department that the client requires airborne precautions: Although notifying the x-ray department is important for overall safety and preparedness, it does not directly address how to transport the client safely. Proper precautions should be taken during the transport itself to minimize risk.

D. Ask the x-ray technician to come to the client's room to obtain a portable x-ray: While this option minimizes the client's exposure to others, it may not be feasible depending on the facility's resources and protocols. Moreover, it does not address the need for the client to wear a mask if transport is necessary.

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In a clinical setting, a patient with a chronic wound is scheduled for debridement. Which of the following is the primary purpose of wound debridement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has an infection. The nurse should use which of the following strategies to prevent the transmission of the client's infection?

Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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