Difficulty: Medium
Average Score: 73%
Simulated
The nurse is caring for a patient with a healing Stage II pressure ulcer. The wound is clean and granulating. Which health care providerÔÇÖs order will the nurse question?
Correct answer
C
Rationale
The correct answer is C: Clean the wound with hydrogen peroxide. Hydrogen peroxide is cytotoxic and can delay wound healing by damaging healthy tissue and impeding the healing process. The nurse should question this order and instead use a gentle wound cleanser or saline solution. Consulting a dietitian (A) can provide optimal nutrition for wound healing. Applying a hydrogel dressing (B) can maintain a moist wound environment. Using a low-air-loss therapy unit (D) can promote healing by reducing pressure and maintaining a clean environment.