Wound Care and Pressure Injuries Quiz

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What characterizes a Stage 2 pressure injury?

Full-thickness skin loss with visible eschar

Partial-thickness skin loss with exposed dermis (correct)

Erythema with no skin loss

Full-thickness skin loss with exposed muscle

Which type of wound heals by primary intention?

Surgical incision (correct)

Stage 2 pressure injury

Severe laceration

Full-thickness ulcer

Which statement regarding Stage 4 pressure injuries is correct?

Adipose tissue is visible but not muscle.

They heal spontaneously without intervention.

They involve only the epidermis and superficial dermis.

Muscle or bone may be directly palpable in the ulcer. (correct)

What indicates a wound is well approximated?

The edges of the wound fit together neatly. Signup and view all the answers

What is an example of a serum-filled blister related to?

Stage 2 pressure injury Signup and view all the answers

Which type of exudate is composed primarily of red blood cells?

Sanguineous Signup and view all the answers

What is a key complication associated with improper wound healing?

Infection Signup and view all the answers

Which of the following characteristics must be documented when describing the wound bed?

Color, odor, consistency, and amount Signup and view all the answers

What characterizes a Stage 1 Pressure Injury?

Intact skin with nonblanchable erythema Signup and view all the answers

Which intervention is NOT recommended for the prevention of pressure ulcers?

Keeping the skin excessively moist Signup and view all the answers

What is the primary purpose of utilizing assistive devices like foot boots and trochanter rolls?

To promote body alignment and prevent complications Signup and view all the answers

Which nutrient is particularly important for patients at risk of poor wound healing?

High-protein, high-calorie diet Signup and view all the answers

What is a common complication of immobility that affects the respiratory system?

Pneumonia Signup and view all the answers

Which type of wound care technique involves removing dead tissue?

Debridement Signup and view all the answers

In which type of pressure injury does darkly pigmented skin show nonblanchable erythema?

Stage 1 Signup and view all the answers

What does the term 'exudate' refer to in wound care?

The moisture produced by wounds Signup and view all the answers

What is characteristic of a purulent wound?

It consists of white blood cells and bacteria. Signup and view all the answers

Which factor is NOT associated with wound dehiscence?

High protein diet Signup and view all the answers

When does infection typically begin for a surgical wound?

Within 3-5 days Signup and view all the answers

What is an appropriate nursing intervention for evisceration?

Apply saline-soaked sterile towels over the wound. Signup and view all the answers

Which of the following is a potential sign of internal hemorrhage?

Localized swelling or hematoma Signup and view all the answers

Which statement best describes a fistula?

An abnormal passage between two bodily organs. Signup and view all the answers

What is a common characteristic of wound exudate in an infected wound?

Thick and purulent Signup and view all the answers

What describes the primary benefit of using Furosemide in wound care?

It treats fluid retention and swelling. Signup and view all the answers