What should the nurse remember to do when applying a hydrocolloid ...

[SO00]

What should the nurse remember to do when applying a hydrocolloid dressing?
 
  a. Apply granules after applying the wafer.
  b. Never use a secondary dressing.
  c. Hold the dressing in place.
  d. Use silk tape to hold the dressing in place.

Question 2

The nurse explains to the patient that the incentive spirometer is used to promote which of the following outcomes?
 
  a. Lung expansion
  b. Reduce likelihood of vascular complications
  c. Incisional healing
  d. Expectoration of mucus

[frre432]

Answer to Question 1

C
Hold the dressing in place for 30 to 60 seconds after application. Hydrocolloid dressings are most effective at body temperature. Holding the dressing in place for a short time facilitates dressing action. In the case of a deep wound, hydrocolloid granules or paste is applied before the wafer. Hydrocolloid granules/paste assists in absorbing drainage to increase the wearing time of the dressing. Apply a secondary dressing (e.g., ABD pad) if needed. When a secondary dressing is not used, apply nonallergic, paper tape around the edges of the hydrocolloid dressing.

Answer to Question 2

A
The use of the incentive spirometer promotes lung expansion. The visual incentive provided by the device encourages the patient to breathe as deeply as possible. Huff coughing is used to promote expectoration of mucus. Repositioning the patient regularly reduces the risk for vascular complications. While adequate oxygenation is needed for wound healing, the use of the incentive spirometer is not recommended for that outcome.

[SO00]

Excellent

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