A client with a severe pressure ulcer is being considered for surgical intervention. What should the nurse educate the client about regarding this potential treatment?
"Surgery will not be needed for your wound.".
"Surgery may involve removing damaged tissue.".
"You'll need antibiotics after the surgery.".
"Surgery will only address surface issues.".
The Correct Answer is B
Choice A rationale:
Informing the client that surgery will not be needed for their severe pressure ulcer is not accurate and does not provide the necessary information for the client.
Surgical intervention may be required for severe pressure ulcers, especially when conservative treatments have been unsuccessful.
Choice B rationale:
Educating the client that surgery may involve removing damaged tissue is an important aspect of preparing them for potential surgical intervention.
Surgical debridement may be necessary to remove necrotic or infected tissue and promote wound healing.
Choice C rationale:
Informing the client that they'll need antibiotics after surgery is not universally applicable to all cases of pressure ulcer surgery.
Antibiotics may be prescribed if there is an infection, but this depends on the individual case and should be determined by the healthcare provider.
Choice D rationale:
Stating that surgery will only address surface issues is not accurate.
Surgical interventions for severe pressure ulcers can involve debridement of necrotic tissue, closure of the wound, and sometimes reconstructive procedures.
The extent of surgery depends on the depth and severity of the ulcer.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
Choice A rationale:
The wound's warmth to the touch is not a primary factor to consider when selecting a dressing for a pressure ulcer.
The choice of dressing should primarily be based on the wound's characteristics, such as its depth, exudate level, and tissue involvement.
Choice B rationale:
The presence of a foul odor from the wound is an important factor to consider when selecting a dressing.
Malodorous wounds may indicate infection or necrotic tissue, and appropriate wound dressings can help manage odor and promote healing.
Choice C rationale:
The extent of tissue damage, including muscle and bone involvement, is a critical factor in choosing an appropriate dressing for a pressure ulcer.
Dressings should be selected based on the depth of the wound and the extent of tissue damage to support healing and prevent complications.
Choice D rationale:
The patient's mobility and pressure on vulnerable areas are essential considerations when selecting a dressing.
Dressings should help offload pressure from vulnerable areas and promote mobility while providing optimal wound care.
The choice of dressing should support the overall management of the patient's condition.
Correct Answer is C
Explanation
Choice A rationale:
Assessing the patient's pain level and providing appropriate pain management (Choice A) is important for a patient with cellulitis as a complication of a pressure ulcer.
However, the immediate priority should be to treat the underlying infection with antibiotics (Choice C).
Pain management can be addressed after initiating antibiotic therapy.
Choice B rationale:
Encouraging frequent position changes and mobility exercises (Choice B) is a valuable intervention for preventing pressure ulcers but may not be the most immediate action needed for a patient with cellulitis.
Treating the infection with antibiotics (Choice C) takes precedence.
Choice C rationale:
Administering antibiotics to treat the infection (Choice C) is the most appropriate nursing action for a client with cellulitis as a complication of a pressure ulcer.
Cellulitis is a bacterial infection that requires prompt antibiotic treatment to prevent its spread and complications.
Choice D rationale:
Optimizing the patient's nutrition and hydration (Choice D) is essential for overall health and wound healing, but in the context of cellulitis, treating the infection (Choice C) is the primary concern.
Once the infection is under control, nutritional support can be addressed.
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