Pressure ulcers are caused by:

Choice A rationale

Keeping the dressing very wet at all times is not advisable with autolytic debriding agents. Excess moisture can cause maceration of the surrounding skin and increase the risk of infection. The dressing should maintain an optimal level of moisture to promote autolysis without causing harm.

Choice B rationale

Not using a dressing for 6 hours/day is incorrect advice. Continuous application of the dressing is essential for the autolytic process. Removing the dressing for extended periods disrupts the environment needed for autolysis, delaying wound healing.

Choice C rationale

Cleansing the wound with Dakin's solution is not recommended with autolytic debridement. Dakin's solution is a chemical debriding agent, and its use can interfere with the natural autolytic process. It is better to use saline or appropriate cleansers as directed.

Choice D rationale

The wound may have a foul odor due to the autolytic debridement process. As dead tissue is broken down, it can produce a distinct odor. Educating the client about this expected outcome helps them understand that it is a normal part of the healing process and not necessarily a sign of infection.

Choice A rationale

Encouraging adequate water intake is important for overall health, but it does not directly address the client’s fear of undergoing an EEG. Adequate hydration can ensure better conduction of electrical signals, but it has no bearing on the client's anxiety related to a past electrocution incident. Therefore, it would not be effective in alleviating the client's specific fear regarding the EEG procedure.

Choice B rationale

Distracting the client’s attention from the test may temporarily reduce anxiety, but it does not address the underlying fear. The client’s fear stems from a misunderstanding of the EEG procedure, and distraction will not resolve this. It is more effective to provide factual information to dispel the fear.

Choice C rationale

Informing the client that they will not experience any electrical shock is a crucial step in alleviating their fear. An EEG records brain activity through electrodes placed on the scalp; it does not involve sending electrical currents into the body. Clarifying this fact helps address the root cause of the client’s fear, providing reassurance and reducing anxiety.

Choice D rationale

Informing the client that they will experience only mild electrical shock is incorrect and misleading. An EEG does not deliver any electrical shock to the client. Providing inaccurate information could increase the client’s anxiety and distrust. Proper education about the procedure's safety is essential for alleviating the client’s fear.