The nurse is caring for a patient with a healing Stage II pressure ulcer. The wound is clean and granulating. Which health care provider’s order will the nurse question?
Consult a dietitian.
Apply a hydrogel dressing.
Clean the wound with hydrogen peroxide.
Use a low-air-loss therapy unit.
The Correct Answer is C
The correct answer is C.
A: Consulting a dietitian is a beneficial order for a patient with a pressure ulcer. Proper nutrition, especially adequate protein intake, is crucial for wound healing. A dietitian can help ensure the patient receives the necessary nutrients to support tissue repair and recovery.
B: Applying a hydrogel dressing is appropriate for a clean, granulating Stage II pressure ulcer. Hydrogel dressings maintain a moist wound environment, which promotes healing and provides pain relief. They are suitable for wounds with minimal to moderate exudate.
C: Cleaning the wound with hydrogen peroxide is not recommended for a healing pressure ulcer. Hydrogen peroxide can damage healthy granulating tissue and delay the healing process. It is better to use saline or a wound cleanser that does not harm the new tissue.
D: Using a low-air-loss therapy unit is beneficial for patients with pressure ulcers. These units help reduce pressure on the skin, improve circulation, and prevent further skin breakdown. They are an effective part of pressure ulcer management.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2"]
Explanation
Step 1: Determine the dosage required. 650 mg
Step 2: Determine the dosage per tablet. 325 mg per tablet
Step 3: Calculate the number of tablets needed. 650 mg ÷ 325 mg per tablet = 2 tablets
The nurse should administer 2 tablets.
Correct Answer is B
Explanation
A: Neostigmine is used to treat myasthenia gravis and to reverse the effects of muscle relaxants after surgery. It is not an antidote for morphine overdose.
B: Naloxone is the correct medication to have available. It is an opioid antagonist used to reverse the effects of opioid overdose, including respiratory depression caused by morphine.
C: Protamine is used to reverse the effects of heparin, an anticoagulant. It is not related to opioid overdose treatment.
D: Flumazenil is used to reverse the effects of benzodiazepines. It is not effective for reversing opioid overdose.
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