ATI Posttest Wound Care Questions and Answers Graded A+

ATI Posttest Wound Care Questions and Answers Graded A+ A nurse is caring for a patient who has multiple sclerosis and has a chronic nonhealing wound. The nurse should recognize that which of the following types of medications is known to delay wound healing? Corticosteroids -Corticosteroids suppress the immune system and therefore can delay wound healing A nurse assessing a pressure ulcer over a patient's right heel area observes a deep crater with no eschar or slough and no exposed muscle or bone. The nurse should document that this patient has a pressure ulcer that is... stage III -A stage III pressure ulcer has full-thickness tissue loss appearing as a deep crater, without exposed muscle or bone. There may or may not be slough. This patient's wound fits this description. A nurse is caring for a patient who has developed a stage I pressure ulcer in the area of the right ischial tuberosity. Which of the following should the nurse plan to apply to the ulcer? Zinc oxide -Barrier creams and ointments are used for patients prone to skin breakdown from pressure, shear, or incontinence. They are intended for prevention and for resolving new- onset problems, such as a stage I pressure ulcer. A nurse is caring for a patient who has a heavily draining wound that continues to show evidence of bleeding. Which of the following types of dressings should the nurse select to help promote hemostasis? Alginate -Alginate dressing help establish hemostasis while providing a moist environment for healing and good absorption of exudate. They do not adhere to the wound; therefore, removal is unlikely to cause further bleeding. A patient who has a full-thickness wound continues to experience considerable pain during dressing changes, despite administration of the prescribed analgesic prior to wound care. Which of the following types of dressings should the nurse select to help minimize the pain of dressing changes? Hydrogel -In general, keeping some moisture within a wound reduces pain. Hydrogel dressings work by maintaining a moist wound environment, so they are a good choice for helping to reduce the pain associated with dressing changes. A nurse is caring for a patient who is admitted with multiple wounds sustained in a motor- vehicle crash. Understanding the patient's specific needs during this initial stage of wound healing, the nurse should incorporate which of the following into the patient's plan of care to prevent a prolongation of this phase? Apply oxygen at 2 L/min via nasal cannula. -Following an acute injury, the body responds by increasing perfusion to the location of the injry during the inflammatory phase of wound healing. The