The nurse clarifies that a vacuum-assisted closure supports the healing of a wound by:
Drawing the wound edges together using negative pressure.
Strengthening the wall of the wound.
Interrupting the proliferation of bacteria in the wound.
Making and air occlusive cover for the wound
The Correct Answer is A
Choice A rationale
Vacuum-assisted closure (VAC) therapy aids in wound healing primarily by applying negative pressure to draw the wound edges together. This not only helps reduce the size of the wound but also promotes blood flow to the area, which can accelerate healing.
Choice B rationale
While VAC therapy does support the underlying structures of the wound, its primary function is not to strengthen the wall of the wound. The negative pressure assists in removing excess fluid and reducing edema, which indirectly supports the wound structure.
Choice C rationale
VAC therapy does have an impact on bacterial levels within the wound by helping to remove infectious materials. However, its main purpose is not to interrupt bacteria proliferation; this is more directly achieved through antibiotic therapy and proper wound care techniques.
Choice D rationale
While VAC does create a cover over the wound, its main purpose is to apply negative pressure to the wound area. This negative pressure helps to draw the wound edges together, promotes the removal of exudate and potentially infectious material, and stimulates the growth of new tissue, which aids in the healing process12. The occlusive cover is part of the system that allows the negative pressure to be maintained, but it is the negative pressure itself, not the cover, that provides the therapeutic benefit.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A:
This position would not be ideal for right eye irrigation. Tilting the head towards the left eye could cause the irrigation solution to flow into the left eye, potentially causing discomfort or harm⁵.
Choice B:
While the supine position is correct, hyperextending the head is not necessary and could cause discomfort to the patient.
Choice C:
This position could cause discomfort to the patient and does not facilitate the flow of the irrigation solution away from the nose and mouth.
Choice D:
This is the correct position for right eye irrigation. The supine position with the head tilted toward the right eye allows the solution to flow away from the nose and mouth, preventing aspiration or discomfort.
Correct Answer is D
Explanation
Choice A rationale
Hydrocolloid dressings are not designed to keep a wound dry; instead, they maintain a moist environment which is conducive to wound healing. They absorb exudate and form a gel, which promotes granulation and epithelialization.
Choice B rationale
The primary purpose of a hydrocolloid dressing is to remain in place for an extended period, typically up to 7 days. This minimizes disturbance to the wound, reduces the risk of infection, and maintains a moist healing environment.
Choice C rationale
While hydrocolloid dressings can help prevent bacterial growth due to their occlusive nature, their main function is not to destroy microorganisms. They provide a barrier against external contaminants and support autolytic debridement.
Choice D rationale
The main purpose of hydrocolloid dressings is to promote a moist healing environment. They contain gel-forming agents that absorb exudate and maintain a moist wound bed, which facilitates faster healing and reduced scar formation.
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