Clinical Wound Care and Hygiene Quiz

What is the primary purpose of hand hygiene in a clinical setting?

To promote skin hydration
To prevent the spread of microorganisms (correct)
To enhance patient comfort
To facilitate quicker dressing changes

How often should wound dressings be checked?

Once a week
Only when the patient complains of pain
Every 24 hours
Every shift (correct)

Why is it important to replace soiled ties and straps?

To reduce the workload of nursing staff
To allow for easier dressing changes
To maintain the appearance of the dressing
To prevent the growth of pathogens (correct)

When can a silicone-based skin barrier typically remain in place?

For up to 7 days (D) Signup and view all the answers

What is a sign of effective wound healing during evaluation?

The wound area is clean and free from contamination (A) Signup and view all the answers

What items should be available for wound care according to standard procedures?

Clean disposable gloves and a cleansing solution (B) Signup and view all the answers

What is the first step in the assessment process for wound care?

Assess the situation to determine the need for cleaning and dressing change (B) Signup and view all the answers

Which outcome indicates successful wound care implementation?

Wound continues to show signs of healing progression (B) Signup and view all the answers

What should be assessed regarding the current dressing during wound care?

The integrity and saturation (C) Signup and view all the answers

In which circumstance should additional PPE be indicated?

When changing the dressing (A) Signup and view all the answers

What nursing diagnosis is related to compromised wound healing?

Impaired Skin Integrity (D) Signup and view all the answers

What is an important consideration prior to beginning wound care?

Confirming medical orders and the nursing care plan (B) Signup and view all the answers

What should not be a goal during wound care implementation?

To cause trauma to the wound area (A) Signup and view all the answers

What is the primary purpose of performing hand hygiene and putting on PPE?

To prevent the spread of microorganisms. (A) Signup and view all the answers

Why is identifying the patient an essential step in the procedure?

It ensures the correct patient receives the intervention. (A) Signup and view all the answers

What is the rationale for assembling equipment on an overbed table?

To facilitate the performance of the task. (C) Signup and view all the answers

What is the benefit of explaining the procedure to the patient?

It helps relieve anxiety and fosters cooperation. (A) Signup and view all the answers

Why is it important to assess the patient for a need for analgesics before proceeding?

To ensure patient comfort and pain management. (A) Signup and view all the answers

What is the purpose of placing a waste receptacle nearby during the procedure?

To ensure easy and safe disposal of the soiled dressing. (B) Signup and view all the answers

Why is it recommended to adjust the bed to a comfortable working height?

To prevent caregiver's back and muscle strain. (C) Signup and view all the answers

What is the function of a waterproof pad placed under the wound site?

To protect underlying surfaces from fluid leakage. (C) Signup and view all the answers

What is the primary purpose of applying a skin protectant during wound care?

To minimize the risk of skin breakdown and irritation (C) Signup and view all the answers

What step should be taken immediately after cleaning the skin around the wound?

Apply a skin protectant to the skin (D) Signup and view all the answers

Why is it important to note the date and time of dressing application?

It provides communication and demonstrates adherence to the care plan (C) Signup and view all the answers

What is the purpose of secure ties in the dressing process?

They hold the dressing in place (D) Signup and view all the answers

Which action should be taken to reduce the risk of skin irritation when applying straps?

Place a skin barrier on the skin before applying straps (A) Signup and view all the answers

What is the consequence of tying the dressing straps too tightly?

It can put additional stress on the surrounding skin (C) Signup and view all the answers

What is the role of clean gloves in the wound care process?

To prevent the spread of microorganisms (C) Signup and view all the answers

What is an important practice to follow after removing gloves post dressing change?

Place the patient in a comfortable position (A) Signup and view all the answers

What should be documented immediately after medication administration?

Date, time, dose, route, and site of administration (B) Signup and view all the answers

Why is it important to document the reason for PRN medication administration?

To avoid repeating administration accidentally (B) Signup and view all the answers

How should a nurse respond if a medication is refused by the patient?

Record it and notify the primary care provider (D) Signup and view all the answers

What are Montgomery straps primarily used for?

To secure dressings on wounds requiring frequent changes (A) Signup and view all the answers

Which of the following is NOT a characteristic of Montgomery straps?

Used for securing dressings only after a dressing change (A) Signup and view all the answers

Who is responsible for the application of Montgomery straps?

Licensed practical/vocational nurses (LPN/LVNs) (B) Signup and view all the answers

What role does a skin barrier play when using Montgomery straps?

It protects the skin from irritation by the straps. (A) Signup and view all the answers

What should the decision to delegate the application of Montgomery straps be based on?

The state’s nurse practice act and the patient's needs (A) Signup and view all the answers