Which of the following is a benefit of negative pressure wound therapy (NPWT) for skin wounds?

Prevents scarring by minimizing collagen production

Relieves pain by numbing the wound area

Promotes wound healing by increasing blood flow to the wound

Reduces the risk of infection by creating a sterile environment

Answer and Explanation

The Correct Answer is C

A. Prevents scarring by minimizing collagen production: Negative pressure wound therapy (NPWT) does not prevent scarring by minimizing collagen production. In fact, NPWT can stimulate collagen production as part of the wound healing process, which can contribute to scar formation.

B. Relieves pain by numbing the wound area: NPWT does not have a numbing effect on the wound area. While it may help promote a more comfortable healing environment, it does not directly relieve pain like local anesthetics or analgesics would.

C. Promotes wound healing by increasing blood flow to the wound: NPWT promotes wound healing by creating a negative pressure environment that helps draw excess fluid away from the wound, reduces edema, and stimulates blood flow to the area. This increased blood flow enhances the delivery of nutrients and oxygen necessary for the healing process, making this option correct.

D. Reduces the risk of infection by creating a sterile environment: While NPWT can help reduce the risk of infection by keeping the wound moist and removing excess exudate, it does not create a completely sterile environment. Proper wound care and dressing changes are still necessary to maintain cleanliness and prevent infection.

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Correct Answer is A

Explanation

A. Wash the area of the puncture thoroughly with soap and water: The first action the nurse should take after a needlestick injury is to immediately wash the area with soap and water. This is crucial for minimizing the risk of infection and exposure to potentially infectious materials. Prompt cleaning of the puncture site is essential in reducing the risk of transmission of bloodborne pathogens.

B. Notify employee health services: While notifying employee health services is important for follow-up care and evaluation, it should be done after the initial wound care has been performed. Immediate action should focus on cleaning the injury first.

C. Complete an incident report: Completing an incident report is a necessary step for documentation and accountability in the healthcare setting. However, it should be done after the immediate first aid for the needlestick injury has been addressed.

D. Report the incident to the charge nurse: Reporting the incident to the charge nurse is important for ensuring appropriate follow-up and support, but the priority should be to address the injury first. The nurse should take care of the puncture wound before notifying others about the incident.

A. Obtain the provider's prescription renewal every 72 hr. B. Document restraint checks and client status every 2 hr. C. Implement passive range-of-motion exercises. D. Educate the client's family about restraint use. E. Release the restraint and reposition the client every 4 hr.

Correct Answer is ["A","B","C","D"]

Explanation

A. Obtain the provider's prescription renewal every 72 hr.: This is an essential intervention. Restraints must be prescribed by a provider and typically require renewal every 24 to 72 hours, depending on hospital policy and the client's needs. Continuous monitoring and justification for the use of restraints are necessary for ethical and legal compliance.

B. Document restraint checks and client status every 2 hr.: Regular documentation of restraint checks and the client’s status is vital for ensuring safety and monitoring for any potential complications, such as skin breakdown or circulatory issues. Frequent checks help ensure that restraints are being used appropriately and that the client’s needs are being met.

C. Implement passive range-of-motion exercises: Incorporating passive range-of-motion exercises is important for preventing joint stiffness, muscle atrophy, and promoting circulation in an immobile client. These exercises can help maintain some level of mobility and prevent complications associated with prolonged immobility.

D. Educate the client's family about restraint use: Providing education to the family about the rationale for using restraints, their purpose, and the monitoring process is essential for transparency and support. This helps the family understand the situation and the measures being taken to ensure the client’s safety.

E. Release the restraint and reposition the client every 4 hr.: This intervention is not sufficient, as restraints should typically be released more frequently, generally every 1 to 2 hours, to assess the client's condition, provide comfort, and allow for repositioning. Releasing restraints every 4 hours may increase the risk of complications and does not align with best practices for care.

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