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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is D
Explanation
A. “The precautions will protect me and help my blood count recover faster.”: While protective precautions are meant to safeguard the client from infections, this statement does not specifically address the necessary actions or behaviors that need to be followed to maintain reverse isolation. Recovery of blood counts is a complex process that depends on multiple factors, including the underlying condition and treatment.
B. "Persons entering the room with colds should stay at least 3 feet from me.": This statement is not sufficient for reverse isolation. Individuals entering the room should be free of any respiratory illnesses, and maintaining a distance may not be adequate protection. Ideally, anyone entering the room should be healthy and ideally wearing appropriate protective gear, such as masks, to reduce the risk of transmitting infections.
C. "My family plans to bring flowers from my garden to help me feel better.": Bringing flowers from outside can introduce pathogens and compromise the sterile environment necessary for a client in reverse isolation. This statement demonstrates a lack of understanding of the precautions required to maintain a safe environment.
D. "Persons entering my room should perform hand hygiene before entering.": This statement accurately reflects an understanding of the precautions needed in reverse isolation. Hand hygiene is critical in preventing the introduction of pathogens into the sterile environment of a client with a severely depressed neutrophil count. It helps to minimize the risk of infections, which is the primary goal of reverse isolation.
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