Negative-pressure wound therapy (NPWT) would be contraindicated ...

[serike]

Negative-pressure wound therapy (NPWT) would be contraindicated in which of the following? (Select all that apply.)
 
  a. Dehisced wounds
  b. Pressure ulcers
  c. Malignancies
  d. Necrotic tissue with eschar

Question 2

When teaching the patient about performing trach care, which of the following is an acceptable technique?
 
  a. Remove the old ties before applying the new.
  b. Keep two trach tubes of the same size at the bedside.
  c. Place the new trach tie, then remove the old tie.
  d. Dispose of all old supplies and replace with new.

[dominiqueenicolee]

Answer to Question 1

C, D
NPWT is a type of therapy that speeds wound healing by applying localized negative pressure to draw the edges of a wound together. It is commonly used for acute, chronic, traumatic, and dehisced wounds; pressure ulcers; and partial-thickness burns and as a bolster for skin grafts. Contraindications for NPWT for chronic wounds are exposed vital organs, inadequately debrided wounds, untreated osteomyelitis or sepsis near a wound, untreated coagulopathy, necrotic tissue with eschar, and malignancy within a wound.

Answer to Question 2

C
During tracheostomy care, the patient is at risk for the trach tube coming out. Never remove the old tracheostomy tube ties until the new ties have been secured properly. Keep two tracheostomy tubes, one the same size as the patient's and one a size smaller, at the patient's bedside, so you can insert a new tube if the tube comes out. Clean reusable supplies in warm, soapy water. Rinse thoroughly, and dry between two layers of clean paper towels. Store supplies in a loosely closed clear plastic bag.