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The use of hydrocolloid dressing is not a risk factor for infection. Hydrocolloid dressings are occlusive and adhesive, which create a moist environment that facilitates wound healing and prevents bacterial contamination.

The frequency of wound irrigation is not a risk factor for infection. Wound irrigation is done to cleanse the wound and remove debris and exudate. It should be done gently and with sterile solution to avoid trauma and contamination.

The application of topical antibiotics is not a risk factor for infection. Topical antibiotics are used to treat or prevent infection in some wounds. They should be used with caution and as prescribed, as overuse may lead to resistance or allergic reactions.

Superficial burn is a burn that involves only the epidermis. It causes erythema, mild pain, and no blisters. It heals within a few days without scarring.

Full-thickness burn is a burn that involves the epidermis, dermis, and underlying tissues such as fat, muscle, or bone. It causes charred, white, or black skin, no pain, and loss of sensation. It requires skin grafting and may result in scarring and contractures.

Deep partial-thickness burn is a burn that involves the epidermis and most of the dermis. It causes white or red skin, severe pain, and decreased sensation. It may heal slowly or require skin grafting.

Secondary intention is a type of wound healing that occurs when the edges of the wound are not approximated or there is extensive tissue loss or infection. It results in granulation tissue formation, contraction, and epithelialization. It takes longer to heal and may result in scarring and infection.

Tertiary intention is a type of wound healing that occurs when there is a delay in closing the wound or when the wound is intentionally left open for drainage or debridement. It results in less scarring than secondary intention but more than primary intention.

Quaternary intention is not a valid term for wound healing.

Eschar is dead tissue that adheres to the surface of the wound. It may be black, brown, or tan in color and may have a hard, dry, or leathery texture. It may act as a natural barrier to infection in some cases, but it may also impair wound healing and circulation in others.

Granulation tissue is new tissue that forms in the base of the wound during healing. It is red or pink in color and has a shiny, moist, granular appearance. It indicates healthy wound healing and should be protected from trauma or infection.

Epithelial tissue is new tissue that forms over the granulation tissue during healing. It is pink or pale in color and has a thin, smooth, translucent appearance. It indicates the final stage of wound healing and should be moisturized and protected from sun exposure.

Transparent film dressing is a type of dressing that is made from polyurethane and is non-absorbent. It is suitable for wounds that have no exudate, as it does not absorb any fluid. It also provides protection and visualization for the wound, and allows gas exchange and moisture vapor transmission.

Hydrogel dressing is a type of dressing that is made from water or glycerin and is minimally absorbent. It is suitable for wounds that have minimal exudate, as it can only absorb up to 10% of its weight in fluid. It also provides hydration and cooling for the wound, and promotes autolytic debridement and granulation tissue formation.

Foam dressing is a type of dressing that is made from polyurethane or silicone and is moderately absorbent. It is suitable for wounds that have light to moderate exudate, as it can absorb up to four times its weight in fluid. It also provides cushioning and insulation for the wound, and prevents bacterial contamination.

The wound has increased in size is an outcome that would indicate that NPWT is unsuccessful or harmful. NPWT should not cause wound enlargement, as this may indicate tissue damage, infection, or poor healing.

The wound has increased in pain is an outcome that would indicate that NPWT is unsuccessful or harmful. NPWT should not cause excessive pain, as this may indicate tissue damage, infection, or poor healing.

The wound has decreased in granulation tissue is an outcome that would indicate that NPWT is unsuccessful or harmful. NPWT should promote granulation tissue formation, as this indicates healthy wound healing.

To increase arterial blood flow and oxygenation is not the rationale for elevating the leg above the level of the heart whenever possible. Arterial ulcers are caused by arterial insufficiency, which impairs arterial blood flow and oxygenation to the lower extremities. Elevation may worsen arterial blood flow and oxygenation, as it reduces the effect of gravity on arterial perfusion.

To stimulate nerve regeneration and sensation doesn’t help with venous ulcers.

To stimulate nerve regeneration and sensation doesn’t help with venous ulcers.

This is not a common adverse reaction of silver sulfadiazine (Silvadene). However, the client with a burn wound may have hyperglycemia due to stress, inflammation, or infection. The nurse should monitor the blood glucose level regularly and administer insulin as prescribed.

This is not recommended for NPWT, as frequent dressing changes can disrupt wound healing and increase the risk of infection. The nurse should change the dressing every 48 to 72 hours or as prescribed by the provider.

This is not recommended for NPWT, as clamping can interrupt negative pressure and cause tissue damage. The nurse should secure the tubing to prevent kinking or dislodgment and keep the device below the level of the wound when ambulating or repositioning the client.is not recommended for NPWT, as irrigation can introduce bacteria into the wound and interfere with negative pressure. The nurse should clean the wound with normal saline or sterile water and pat it dry gently before applying the dressing.

This is not recommended for NPWT, as clamping can interrupt negative pressure and cause tissue damage. The nurse should secure the tubing to prevent kinking or dislodgment and keep the device below the level of the wound when ambulating or repositioning the client.