Author Question: Pulsatile high-pressure lavage may be used by the nurse on: A. Graft sites B. New tissue C. ... (Read 33 times)

Jipu 123 · **on:** Jul 24, 2018

Pulsatile high-pressure lavage may be used by the nurse on:

A. Graft sites
B. New tissue
C. Necrotic tissue
D. Clients taking anticoagulants

Question 2

The nurse is planning to care for a patient diagnosed with possible tuberculosis (TB). Assessment of possible TB may be based on which of the following? (Select all that apply.)

a. A positive AFB smear or culture
b. Signs or symptoms of TB
c. Cavitation on chest x-ray study
d. History of recent exposure
e. TB skin test

juwms · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

C
C. Pulsatile high-pressure lavage is an alternative to high-pressure irrigation. It is the use of a machine to deliver intermittent high-pressure irrigation, combined with suction to remove the irrigant and wound debris. High-pressure irrigation is the cleansing of a necrotic wound with irrigating fluid delivered at 8 to 12 pounds per square inch (psi).
A and B. Wound irrigation in the presence of granulation tissue or new epithelial cells would be done with low pressure.
D. Clients taking anticoagulants would be treated with low pressure to decrease the chance of bleeding.

Answer to Question 2

A, B, C, D
Signs of infectious pulmonary or laryngeal TB include documentation of positive AFB smear or culture, signs or symptoms of TB, cavitation on chest x-ray study, history of recent exposure, and physician progress notes indicating a plan to rule out TB.