Wounds and Pressure Ulcers
Wounds and Pressure Ulcers ( 15 Questions)
A nurse is caring for a patient with a stage 3 pressure ulcer. What nursing intervention should the nurse prioritize based on the information provided in the text?
Administering antibiotics to prevent infection is not the primary nursing intervention for a stage 3 pressure ulcer.
While infection prevention is important, optimizing nutrition and hydration (Choice D) takes precedence in this case.
Proper nutrition and hydration are essential for tissue healing and preventing further deterioration of the wound.
Infection prevention measures like antibiotics may be considered if there are signs of infection, but they are not the first-line intervention.
Assessing the patient's pain level and providing appropriate pain management (Choice B) is an important aspect of care for a patient with a stage 3 pressure ulcer, but it is not the highest priority.
Pain management should be addressed, but it should not take precedence over optimizing nutrition and hydration (Choice D), which is crucial for wound healing.
Educating the patient on the importance of mobility exercises (Choice C) is an essential aspect of preventing pressure ulcers, but for a patient with an existing stage 3 pressure ulcer, the priority should be on wound management and nutrition.
While mobility exercises are beneficial, they should not be prioritized over optimizing nutrition and hydration (Choice D) to support the healing process.
Optimizing the patient's nutrition and hydration (Choice D) is the most appropriate nursing intervention for a patient with a stage 3 pressure ulcer.
Proper nutrition and hydration are essential for tissue repair and wound healing.
Inadequate nutrition can delay healing and increase the risk of complications, making this the highest priority intervention.
Choice A rationale:
Administering antibiotics to prevent infection is not the primary nursing intervention for a stage 3 pressure ulcer.
While infection prevention is important, optimizing nutrition and hydration (Choice D) takes precedence in this case.
Proper nutrition and hydration are essential for tissue healing and preventing further deterioration of the wound.
Infection prevention measures like antibiotics may be considered if there are signs of infection, but they are not the first-line intervention.
Choice B rationale:
Assessing the patient's pain level and providing appropriate pain management (Choice B) is an important aspect of care for a patient with a stage 3 pressure ulcer, but it is not the highest priority.
Pain management should be addressed, but it should not take precedence over optimizing nutrition and hydration (Choice D), which is crucial for wound healing.
Choice C rationale:
Educating the patient on the importance of mobility exercises (Choice C) is an essential aspect of preventing pressure ulcers, but for a patient with an existing stage 3 pressure ulcer, the priority should be on wound management and nutrition.
While mobility exercises are beneficial, they should not be prioritized over optimizing nutrition and hydration (Choice D) to support the healing process.
Choice D rationale:
Optimizing the patient's nutrition and hydration (Choice D) is the most appropriate nursing intervention for a patient with a stage 3 pressure ulcer.
Proper nutrition and hydration are essential for tissue repair and wound healing.
Inadequate nutrition can delay healing and increase the risk of complications, making this the highest priority intervention.