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. Provide the client with an electric toothbrush: An electric toothbrush is an appropriate option for a client with impaired upper extremity strength. It requires less physical effort to use compared to a manual toothbrush, making it easier for the client to maintain oral hygiene effectively. The powered brushing action can help ensure more thorough cleaning of the teeth and gums.

B. Give the client an alcohol-based mouth wash: Alcohol-based mouthwashes can be irritating to the oral mucosa, especially in clients who may have dry mouth or other oral health issues. Instead, a non-alcoholic mouthwash or rinse should be considered to promote comfort and effective oral care.

C. Give the client lemon-glycerin mouth swabs: Lemon-glycerin swabs are not recommended for oral care, as they can be irritating and may cause dryness in the mouth. Additionally, lemon can be acidic and potentially harm the enamel of the teeth. It is better to use products designed for sensitive oral care.

D. Provide the client with a spool of dental floss: While dental floss is important for maintaining oral hygiene, using it requires manual dexterity and strength that may be difficult for a client with impaired upper extremity strength. Instead, alternatives such as floss holders or interdental brushes could be suggested, but the initial focus should be on ensuring the client can effectively brush their teeth.

A. “The precautions will protect me and help my blood count recover faster." B. "Persons entering the room with colds should stay at least 3 feet from me." C. "My family plans to bring flowers from my garden to help me feel better." D. "Persons entering my room should perform hand hygiene before entering."

Correct Answer is D

Explanation

A. “The precautions will protect me and help my blood count recover faster.”: While protective precautions are meant to safeguard the client from infections, this statement does not specifically address the necessary actions or behaviors that need to be followed to maintain reverse isolation. Recovery of blood counts is a complex process that depends on multiple factors, including the underlying condition and treatment.

B. "Persons entering the room with colds should stay at least 3 feet from me.": This statement is not sufficient for reverse isolation. Individuals entering the room should be free of any respiratory illnesses, and maintaining a distance may not be adequate protection. Ideally, anyone entering the room should be healthy and ideally wearing appropriate protective gear, such as masks, to reduce the risk of transmitting infections.

C. "My family plans to bring flowers from my garden to help me feel better.": Bringing flowers from outside can introduce pathogens and compromise the sterile environment necessary for a client in reverse isolation. This statement demonstrates a lack of understanding of the precautions required to maintain a safe environment.

D. "Persons entering my room should perform hand hygiene before entering.": This statement accurately reflects an understanding of the precautions needed in reverse isolation. Hand hygiene is critical in preventing the introduction of pathogens into the sterile environment of a client with a severely depressed neutrophil count. It helps to minimize the risk of infections, which is the primary goal of reverse isolation.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing oral care for a client who had has impaired upper extremity strength. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

The client has protective precautions (reverse isolation) in place due to a severely depressed neutrophil count. Which statement by the client demonstrates a good understanding of the precautions?

Correct Answer is D

Explanation

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