The patient is undergoing Negative Pressure Wound Therapy (NPWT) treatment for wound healing. Which would be your first priority in caring for this patient?
Assess the patient for any complaints or problems in the wound area.
Check the settings on the NPWT unit.
Document your findings.
Observe the dressing area.
The Correct Answer is A
Choice A rationale
The nurse’s first priority should always be to assess the patient’s condition. In the context of NPWT, this means checking for any complaints or problems in the wound area. This assessment helps to ensure that the NPWT is not causing additional issues and that the wound is healing as expected.
Choice B rationale
While it is important to check the settings on the NPWT unit to ensure it is functioning correctly, this is not the first priority. The patient’s well-being and response to treatment take precedence over equipment checks.
Choice C rationale
Documentation is a critical part of patient care, but it comes after patient assessment and any necessary interventions. It serves to record the patient’s status and the care provided but is not the immediate priority.
Choice D rationale
Observing the dressing area is part of the overall assessment of the patient and the effectiveness of the NPWT. However, it is not the first action to take. The nurse must first assess the patient for any discomfort or complications before focusing on the dressing itself.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","E"]
Explanation
Choice A rationale
Atherosclerosis can slow healing by reducing blood flow and oxygen to tissues, which is essential for wound repair.
Choice B rationale
Diminished lung function may affect healing because less oxygen is available in the blood, and oxygen is crucial for tissue repair processes.
Choice C rationale
Excessive production of blood factors is not typically associated with aging. In fact, aging can lead to a decline in the production of certain blood factors necessary for healing.
Choice D rationale
Increased immunity is not an age-related change. Aging is associated with immunosenescence, which is a decline in immune function³.
Choice E rationale
A slow metabolism is associated with aging and can contribute to slower healing because the body's cells are less active and regenerate more slowly.
Correct Answer is A
Explanation
Choice A rationale
A pinkish-red center and a bumpy appearance in a wound are signs of granulation tissue formation, which is indicative of the healing process beginning.
Choice B rationale
Suppuration refers to the production of pus. Without additional information indicating pus or infection, the description provided does not suggest suppuration.
Choice C rationale
Becoming infected would typically involve signs such as increased pain, redness, swelling, warmth, and possibly pus, which are not described in the scenario.
Choice D rationale
Debridement is the removal of dead, damaged, or infected tissue to improve the healing potential of the remaining healthy tissue. The description given does not indicate the presence of such tissue.

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