The nurse is taking care of a client with a vacuum-assisted ...

[leilurhhh]

The nurse is taking care of a client with a vacuum-assisted closure machine. The nurse is reviewing the use and purpose of the vacuum-assisted closure machine with a group of student nurses.
 
  Which is the best response by a student nurse about the vacuum-assisted closure machine? A) Applies controlled localized positive pressure to a wound site
  B) Decreases the growth of granulation tissue
  C) Decreases healing time of the client's wound
  D) Particularly useful for stage II pressure ulcers

Question 2

When a client is to be transitioned from one care site to another, communication between sites is vital, to ensure safe and appropriate care and follow-up.
 
  Which of the following agencies was established to promote increased use of technology to improve management of chronic diseases and reduce avoidable rehospitalizations? A) Centers for Medicare and Medicaid (CMS)
  B) Quality Improvement Organizations (QIO)
  C) Outcome and Assessment Information Set (OASIS)
  D) Home Health Resource Group (HHRG)

[katkat_flores]

Answer to Question 1

C
Feedback:
The VAC machine applies controlled localized negative pressure to a sound site. This increases the growth of granulation tissue and decreases healing time. The system is particularly useful in treatment of stage III and stage IV pressure ulcers.

Answer to Question 2

A
Feedback:
The CMS is an agency established to promote increased use of technology as a means of improving management of chronic diseases, ultimately to reduce the incidence of avoidable rehospitalizations. The QIOs in each state are also contracted by CMS to work with home care agencies. Payment for home care is based on selected OASIS outcome measures, the new version of which (OASIS-C) became effective January 1, 2010 . After OASIS data are collected, the client is assigned to a HHRG for a given episode of care, which is usually a 60-day period.