medium · NCLEX-RN safety
At 1600, the nurse is reviewing the provider's orders for a 59-year-old female who has an open abdominal wound with an enterocutaneous fistula. The order reads: 'Initiate negative-pressure wound therapy (NPWT) with black foam at -125 mm Hg continuous suction.'
The nurse should take which action?
- Hold the order and contact the provider to clarify the contraindication, for this client.
- Apply a hydrocolloid barrier over the fistula opening, then place the foam and start the NPWT.
- Initiate the therapy as ordered and monitor the volume of enteric output in the canister.
- Change the dressing material to white polyvinyl alcohol (PVA) foam and initiate suction at -75 mm Hg.
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