Clinical Wound Care and Hygiene Quiz
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Questions and Answers

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?

<p>For up to 7 days (D)</p> Signup and view all the answers

What is a sign of effective wound healing during evaluation?

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

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

<p>Clean disposable gloves and a cleansing solution (B)</p> Signup and view all the answers

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

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

Which outcome indicates successful wound care implementation?

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

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

<p>The integrity and saturation (C)</p> Signup and view all the answers

In which circumstance should additional PPE be indicated?

<p>When changing the dressing (A)</p> Signup and view all the answers

What nursing diagnosis is related to compromised wound healing?

<p>Impaired Skin Integrity (D)</p> Signup and view all the answers

What is an important consideration prior to beginning wound care?

<p>Confirming medical orders and the nursing care plan (B)</p> Signup and view all the answers

What should not be a goal during wound care implementation?

<p>To cause trauma to the wound area (A)</p> Signup and view all the answers

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

<p>To prevent the spread of microorganisms. (A)</p> Signup and view all the answers

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

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

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

<p>To facilitate the performance of the task. (C)</p> Signup and view all the answers

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

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

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

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

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

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

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

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

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

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

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

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

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

<p>Apply a skin protectant to the skin (D)</p> Signup and view all the answers

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

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

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

<p>They hold the dressing in place (D)</p> Signup and view all the answers

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

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

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

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

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

<p>To prevent the spread of microorganisms (C)</p> Signup and view all the answers

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

<p>Place the patient in a comfortable position (A)</p> Signup and view all the answers

What should be documented immediately after medication administration?

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

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

<p>To avoid repeating administration accidentally (B)</p> Signup and view all the answers

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

<p>Record it and notify the primary care provider (D)</p> Signup and view all the answers

What are Montgomery straps primarily used for?

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

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

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

Who is responsible for the application of Montgomery straps?

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

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

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

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

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

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