The patient is undergoing NPWT treatment for wound healing.
Which would be your first priority in caring for this patient?
Document your findings.
Assess the patient for any complaints or problems in the wound area.
Check the setting on the NPWT unit.
Observe the dressing area when assessing vital signs.
The Correct Answer is B
Choice A rationale:
Documentation is important but not the first priority.
Choice B rationale:
Assessing the patient for any complaints or problems in the wound area is the first priority in NPWT treatment.
Choice C rationale:
Checking the setting on the NPWT unit is important but comes after assessing the patient.
Choice D rationale:
Observing the dressing area when assessing vital signs is part of the assessment process but not the first priority.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Asking someone to quickly get an abdominal binder is not the immediate action. The nurse should first ensure the patient’s safety by assisting them to a supine position to prevent further injury.
Choice B rationale:
Assisting the patient to a supine position is the correct action. This is because the patient’s statement may indicate dehiscence (separation of the wound edges), and placing the patient in a supine position with the knees bent can reduce tension on the wound and prevent further injury.
Choice C rationale:
Seating the patient in a nearby chair is not the immediate action. The nurse should first ensure the patient’s safety by assisting them to a supine position.
Choice D rationale:
Instructing the patient to pant to reduce abdominal tension is not the immediate action. The nurse should first ensure the patient’s safety by assisting them to a supine position.
Correct Answer is A
Explanation
Choice A rationale:
The side-lying position allows gravity to assist in wound irrigation and prevent pooling of the solution.
Choice B rationale:
High-Fowler’s position is not ideal for abdominal wound irrigation as it can lead to pooling of the solution.
Choice C rationale:
In the supine position, the solution can pool around the wound and not effectively irrigate it.
Choice D rationale:
The dorsal recumbent position is not ideal as it can also lead to pooling of the solution.
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