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CHAPTER SEVENTEEN. Pulsed Lavage with Suction

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You are treating a patient with a painful vasculitic wound on the lower extremity with a large amount of adhered fibrous tissue. The recommended psi to use in treating this patient with PLWS is

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a. 2

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b. 6

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c. 12

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d. 15

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The solution most frequently used for PLWS is

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a. Ringer solution

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b. Dakin solution

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c. 0.9% or normal saline solution

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d. Sterile water

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You receive an order to provide wound care to a patient who has an open abdominal wound, cultured positive for pseudomonas, and want to include PLWS as part of the care plan. The patient is in a semiprivate room with more than 6 feet between the beds and a curtain that can be pulled for privacy. Your approach would be

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a. To treat the patient with PLWS with all the protective equipment, plastic tent, and splash shields to prevent aerolosization

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b. To request that the patient be moved to a private room before initiating treatment with PLWS

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c. To transport the patient to the outpatient department for treatment to avoid treating in a room with curtains.

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d. To refuse to treat the patient until the other patient has been discharged.

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You are treating a patient daily who will be going to surgery for closure of a traumatic injury in 5–6 days. The wound is 10 cm × 4 cm × 1 cm deep, with no sinuses or undermining, on the posterior thigh. About 40% of the wound is covered with fibrous tissue that requires debriding and there is a moderate amount of drainage. The care plan is to treat daily until surgery. Your best choice of a tip would be

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a. Single-use splash shield

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b. Divertor splash shield

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c. Single-use flexible tracking tip

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d. Divertor flexible tracking tip

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What is the appropriate approach when treating a patient with multiple wounds?

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a. Use a different tip for each wound.

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b. Treat only one wound each treatment session.

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