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    Ati pharmacology final proctored exam

    The nurse is caring for a patient with a healing Stage II pressure ulcer. The wound is clean and granulating. Which health care provider's order will the nurse question?

    Explanation & Rationale

    Choice A reason: Consulting a dietitian is a beneficial order, as proper nutrition is crucial for wound healing. Ensuring the patient receives adequate nutrients can support the healing process of pressure ulcers. This order would typically not be questioned as it plays a vital role in the overall treatment plan. Choice B reason: Applying a hydrogel dressing is appropriate for a Stage II pressure ulcer that is clean and granulating. Hydrogel dressings maintain a moist wound environment, which is beneficial for wound healing. This type of dressing helps to keep the wound bed moist, promoting faster healing and protecting the new tissue. Choice C reason: Cleaning the wound with hydrogen peroxide is not recommended for a healing Stage II pressure ulcer. Hydrogen peroxide can cause damage to healthy tissue and delay the healing process. It is too harsh and can impede the granulation and re-epithelialization of the wound. Therefore, this order should be questioned to avoid potentially harming the wound and slowing down the healing process. Choice D reason: Using a low-air-loss therapy unit can help in preventing further pressure ulcer development and can support the healing of existing ulcers. These units provide pressure redistribution and a comfortable environment for the patient, which helps in managing pressure ulcers effectively. This order would typically not be questioned as it aids in the overall management of pressure ulcers.

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