Author Question: A home health nurse manager is instructing new staff regarding evidence-based practices of wound ... (Read 109 times)

rosent76 · **on:** Jun 25, 2018

A home health nurse manager is instructing new staff regarding evidence-based practices of wound management. Which will the manager's teaching include?

Select all that apply.
A) Wounds should be kept dry and should not be covered until a scab forms.
B) Allowing a wound to remain dry or applying a dry wound covering may slow the healing process.
C) Wound covering helps maintain a dry environment, decreasing the chance of infection such as cellulitis.
D) Proper wound moisture management can reduce pain and improve the cosmetic outcome.
E) Three methods for proper wound management include cleansing techniques, proper wound covering, and ointment application.

Question 2

The nurse is reviewing the laboratory values of a client who is newly diagnosed with acquired immunodeficiency syndrome (AIDS). Which values should be reported to the client's healthcare provider?

Select all that apply.
A) CD4 cell count 1,100/mm3
B) T4 cell count 150
C) CD4 lymphocytes 12
D) Viral load 11,500 copies/mL
E) WBC 6,500

jamesnevil303 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: B, D, E

Individuals with open wounds are more susceptible to contracting a skin infection such as cellulitis. Many believe wounds should be kept dry and should not be covered until a scab forms. However, this slows wound healing and leaves the wound exposed to potential pathogens if the scab comes off. Wound covering helps to maintain a moist environment, decreasing the chance of infection such as cellulitis. The three methods of proper moist wound management include cleansing techniques, proper wound covering, and ointment application. Proper wound moisture management also reduces pains and improves the cosmetic outcome.

Answer to Question 2

Answer: B, C, D

The risk of opportunistic infection is the most common manifestation of AIDS. The risk of opportunistic infection is predictable by the T4 and CD4 cell count. The normal CD4 cell count is greater than 1,000/mm3. All of the labs are abnormal except for the CD4 cell count and the WBC, which was within normal range.