Question

The nurse is assigned to care for a client with a leg ulcer. Sutilains treatments are prescribed. The nurse would avoid which action when performing the treatment?

A) Applying the sutilains immediately followed by a dry sterile dressing
B) Keeping the leg elevated during the treatment
C) Monitoring for signs of infection around the ulcer
D) Documenting the appearance of the ulcer before and after treatment

Answer 1

When performing sutilains treatments for a leg ulcer, the nurse should avoid applying the sutilains immediately followed by a dry sterile dressing. Keeping the leg elevated during the treatment, monitoring for signs of infection, and documenting the appearance of the ulcer are all appropriate actions.

Step-by-step explanation:

When performing sutilains treatments for a leg ulcer, the nurse should avoid applying the sutilains immediately followed by a dry sterile dressing. Sutilains is an enzymatic debriding agent that helps to remove dead tissue from the wound. It is typically applied to the ulcer and then covered with a moist dressing to enhance its effectiveness. So, Option A should be avoided as it goes against the recommended procedure.

The other actions mentioned in the options are appropriate when performing the treatment:

1. Keeping the leg elevated during the treatment helps to reduce swelling and improve blood flow to the area, promoting healing.
2. Monitoring for signs of infection around the ulcer is important to ensure timely intervention if infection occurs.
3. Documenting the appearance of the ulcer before and after treatment helps to track the progress of healing and assess the effectiveness of the sutilains treatment.