Share This Link

This is an appropriate intervention, as hydrocolloid dressings provide a moist environment that promotes wound healing and prevents bacterial contamination. However, this is not the first priority, as it does not address ABC issues.

This is an appropriate intervention, as assessing the wound for signs of infection, such as redness, swelling, warmth, drainage, odor, or increased pain, is essential to monitor the wound healing process and identify any complications. However, this is not the first priority, as it does not address ABC issues.

This is an appropriate intervention, as cleansing the wound with normal saline solution helps to remove debris and bacteria from the wound and prevent infection. However, this is not the first priority, as it does not address ABC issues.

This is not an appropriate intervention, as wet-to-dry dressings are not recommended for wounds with dry eschar, as they can cause trauma and bleeding to healthy tissue. Wet-to-dry dressings are used for wounds with moist necrotic tissue or slough that needs to be removed.

This is not an appropriate intervention, as transparent film dressings are not indicated for wounds with necrotic tissue or infection. Transparent film dressings are used for wounds with minimal drainage that need protection from external contamination and moisture loss.

This is not an appropriate intervention, as leaving the wound open to air without any dressing can expose it to further trauma and infection. Wounds need to be covered with an appropriate dressing that maintains a moist environment and supports wound healing.

This is not an appropriate dressing for autolytic debridement, as alginate dressings are used for wounds with moderate to heavy exudate that need absorption and hemostasis. Alginate dressings form a gel-like substance when in contact with wound fluid and help to maintain a moist environment for wound healing.

This is not an appropriate dressing for autolytic debridement, as foam dressings are used for wounds with moderate to heavy exudate that need insulation and protection. Foam dressings have a soft and absorbent layer that cushions the wound and prevents maceration of the surrounding skin.

This is not an appropriate dressing for autolytic debridement, as gauze dressings are used for wounds with minimal to moderate exudate that need cleansing and packing. Gauze dressings can adhere to the wound surface and cause trauma and bleeding when removed.

This is not an appropriate action, as increasing the frequency of dressing changes can disrupt the wound healing process and cause trauma and pain to the client. Dressing changes for NPWT are usually done

This is not an appropriate action, as decreasing the amount of negative pressure applied can reduce the effectiveness of NPWT and delay wound healing. The amount of negative pressure applied should be determined by the provider based on the type and location of the wound, the amount of drainage, and the client's tolerance.

This is not an appropriate action, as continuing the NPWT until the wound is completely closed can cause overgranulation or maceration of the wound and surrounding skin. NPWT should be discontinued when the wound has achieved sufficient granulation tissue or epithelialization, or when there are signs of infection or bleeding.