Practice Question
The nurse changing a wet to dry normal saline dressing for a patient with an ulcer on the heel finds that the old dressing is stuck to the wound bed. The nurse's most beneficial intervention would be to:
Answer Choices:
Correct Answer:
Add normal saline to loosen it.
Rationale:
🔵 The nurse should add normal saline to moisten the old dressing that is stuck to the wound bed, allowing it to loosen gently without damaging healing tissue.
🔵 This intervention prevents trauma to new granulation tissue and reduces pain during dressing removal.
🔵 Using povidone-iodine or forcefully pulling the dressing risks delaying healing and causing tissue injury.
🔵 Leaving the old dressing in place and adding wet dressings can promote bacterial growth and infection.
🔵 Moistening with saline supports optimal wound care and client comfort.
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This question is from ATI PN Custom Fundamentals CH38 Exam which contains 50 questions.
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Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exams
- Domain: Fundamentals of Nursing
- Answer Choices: 4