medium · NCLEX-RN safety
At 1330, the nurse is preparing to apply a new negative-pressure wound therapy (NPWT) dressing to an open orthopedic wound on a 30-year-old female. The nurse notes that a portion of the tibial bone and a tendon are visible at the base of the wound bed.
Which action is mandatory for the nurse to perform to ensure client safety?
- Irrigate the exposed bone with hydrogen peroxide to sterilize the surface before sealing the dressing, for this client.
- Place the polyurethane black foam directly against the bone to stimulate osteoblast activity.
- Pack the wound with silver-impregnated gauze and set the NPWT to continuous suction at -200 mm Hg, for this client.
- Apply a non-adherent protective barrier layer directly over the exposed bone and tendon before applying the foam.
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