Wound Assessment and Care Techniques Quiz

Wound Assessment and Care Techniques

• Wound assessment includes evaluating the tissue present in the wound bed, such as necrotic tissue, slough, granulation tissue, and newly formed epithelial tissue.
• Drainage from the wound can be serous, serosanguinous, sanguinous, or purulent, and can be managed with different types of drains, including open drains (Penrose) and closed drains (Chest tube, Jackson-Pratt, Hemovac).
• Periwound assessment involves noting the color, palpating for pain, and looking for signs of infection around the wound.
• Wound documentation should include information about the type, location, size, edges, wound bed, drainage, periwound, pain, and signs of infection.
• Nursing diagnoses related to wound care include risk for impaired skin integrity, risk for infection, impaired skin integrity, disturbed body image, and deficient knowledge related to wound care.
• Outcome identification and planning for wound care involve maintaining skin integrity, demonstrating self-care measures, showing evidence of wound healing, remaining infection-free, and demonstrating appropriate wound care measures before discharge.
• Nursing interventions for wound care include preventing infection and further injury, promoting wound healing, promoting physical and emotional comfort, and consulting specialists if necessary.
• Pressure injury prevention techniques include skin assessment, assessing risk using the Braden scale, vigilant monitoring, applying protective barriers, alleviating pressure through early mobility and appropriate surfaces, managing incontinence, and promoting nutrition and hydration.
• Wound care nursing interventions involve preventing infection and further injury, promoting wound healing, ensuring adequate nutrition and hydration, managing comorbid health conditions, consulting specialists if necessary, and performing wound care as ordered.
• Dressings are an important part of wound care and serve functions such as absorbing drainage, maintaining moisture, preventing infection, and protecting the wound and surrounding skin.
• Factors to consider when selecting a dressing include the wound condition, amount of drainage, need for debridement, availability within the facility, ease of use, and cost and insurance coverage.
• Performing a dressing change involves preparing for the change, verifying the order, explaining the procedure to the patient, gathering supplies, removing the old dressing carefully, cleansing the wound, and applying a new dressing.

Additional Techniques in Wound Care

• Negative pressure wound therapy (NPWT) can stimulate cell proliferation, improve blood flow, remove excess fluid, and prevent infection, but it has contraindications such as active bleeding, necrotic tissue, fistulas, and malignant wounds.
• Hyperbaric oxygen therapy, which involves pressurized chambers and 100% oxygen, can be used for hard-to-heal wounds as well as for carbon monoxide poisoning, decompression sickness, and severe anemia.
• Hot and cold therapy can be used to promote healing and reduce edema and muscle spasms, but care must be taken to prevent injury and avoid exceeding the maximum therapeutic effect time.
• Devices to apply

Test your knowledge on wound assessment and care techniques with this quiz! Learn about different types of wound drainage, periwound assessment, nursing interventions, pressure injury prevention, dressing selection, and more. Plus, explore additional techniques such as negative pressure wound therapy, hyperbaric oxygen therapy, and hot/cold therapy. Challenge yourself and enhance your wound care skills today!