I would very much like to know why a patient with a stalled ischial pressure injury should be recommended a flap surgery before NPWT is attempted. I get that your rationale says that flap surgeries can be successful, and I agree (highly depending on the patient in question). But why in the world wouldn’t we try NPWT before a major surgical intervention which requires specific and often difficult pre-surgical and post-surgical regimens? No idea why you guys think the most invasive option should be the first choice because you didn’t explain why NPWT was less preferred in the generic case you presented.
Other answers seem to test for one incredibly nitpicky nugget of info rather than to test understanding of basic concepts. I got one answer wrong because I didn’t think (and still have not seen anywhere I checked) that the Levine method requires a *moistened* swab. Every source I checked just says “swab”, not specifying moist or dry. So if I don’t happen to have the specific textbook you drew the question from, but have the WOCN-created curriculum books and the internet instead, then I get the question wrong. Excellent!
In the JWOCN exam prep series (at the end of each issue), every single question has a rationale for its answers - both why the correct one is deemed the best answer AND why the incorrect answers are not the best choice. I would highly advise this app’s creators to take the same approach.
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25 year RN
