Question

A vacuum-assistive closure (VAC) device is being use to provide wound care for a client who has stage III pressure ulcer on a below-the- knee (BKA) residual limb. Which intervention should the nurse implement to ensure maximum effectiveness of the device?

Answer 1

To ensure maximum effectiveness of the vacuum-assistive closure (VAC) device for wound care, the nurse should properly clean and prepare the wound, ensure proper application and sealing of the VAC dressing, and monitor and adjust the negative pressure settings.

Step-by-step explanation:

To ensure maximum effectiveness of the vacuum-assistive closure (VAC) device for wound care, the nurse should implement the following intervention:

1. Properly clean and prepare the wound before applying the VAC device: The wound should be thoroughly cleansed with an appropriate wound cleanser and dried before placing the VAC dressing.
2. Ensure proper application and sealing of the VAC dressing: It is essential to create an airtight seal between the VAC dressing and the skin surrounding the wound. Any gaps or leaks can compromise the effectiveness of the device in promoting wound healing.
3. Monitor and adjust the negative pressure settings: The nurse should regularly monitor the negative pressure settings and make necessary adjustments based on the client's tolerance and wound healing progress. Monitoring includes assessing the wound for excessive or inadequate drainage and adjusting the pressure accordingly