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. Allowing a new mother to hold her stillborn infant: This action demonstrates compassion and support, but it is more aligned with the ethical principle of beneficence, which focuses on promoting the well-being of the patient rather than specifically addressing fidelity.

B. Refusing to disclose information about a client to the media: This action reflects adherence to the principle of confidentiality and privacy, which is crucial in healthcare but does not specifically demonstrate fidelity. Fidelity primarily pertains to keeping promises and commitments to patients.

C. Confirming that a client going for surgery has signed a consent form: This action ensures that informed consent has been obtained, which aligns with the ethical principles of autonomy and beneficence. However, it does not directly represent fidelity, which is more focused on the nurse's obligation to follow through on commitments to the patient.

D. Keeping an appointment with a client: This action demonstrates fidelity, which involves the nurse's commitment to honoring promises and maintaining trust in the nurse-client relationship. By keeping appointments, the nurse shows reliability and respect for the client's time and needs, which is fundamental to ethical nursing practice.

A. "After breakfast we can review the instructions for insulin self-injection again." B. "As soon as I get your admission papers I'll be in to talk with you about your health problem." C. “I see that you live near the hospital. Have you been living here a while?" D. “I’m going to miss talking with you every day but you are better and ready to go home now."

Correct Answer is D

Explanation

A. "After breakfast we can review the instructions for insulin self-injection again.": This statement indicates ongoing interaction and teaching with the client, suggesting that the nurse is still in the working phase of the nurse-client relationship rather than the termination phase.

B. "As soon as I get your admission papers I'll be in to talk with you about your health problem.": This statement implies the initiation of a relationship and care plan, indicating that the nurse is in the orientation phase rather than the termination phase.

C. “I see that you live near the hospital. Have you been living here a while?": This statement reflects rapport-building and exploration of the client’s background, which are part of the initial phases of the nurse-client relationship. It does not signify the termination phase.

D. “I’m going to miss talking with you every day but you are better and ready to go home now.": This statement clearly indicates the termination phase of the nurse-client relationship. It acknowledges the emotional aspect of the relationship while confirming that the client is prepared for discharge, signifying the conclusion of the care provided. This reflects a transition in the relationship as the nurse prepares to end interactions with the client.

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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

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Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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