Wound Care and Pressure Injuries Quiz
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Questions and Answers

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?

    <p>The edges of the wound fit together neatly.</p> Signup and view all the answers

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

    <p>Stage 2 pressure injury</p> Signup and view all the answers

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

    <p>Sanguineous</p> Signup and view all the answers

    What is a key complication associated with improper wound healing?

    <p>Infection</p> Signup and view all the answers

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

    <p>Color, odor, consistency, and amount</p> Signup and view all the answers

    What characterizes a Stage 1 Pressure Injury?

    <p>Intact skin with nonblanchable erythema</p> Signup and view all the answers

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

    <p>Keeping the skin excessively moist</p> Signup and view all the answers

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

    <p>To promote body alignment and prevent complications</p> Signup and view all the answers

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

    <p>High-protein, high-calorie diet</p> Signup and view all the answers

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

    <p>Pneumonia</p> Signup and view all the answers

    Which type of wound care technique involves removing dead tissue?

    <p>Debridement</p> Signup and view all the answers

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

    <p>Stage 1</p> Signup and view all the answers

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

    <p>The moisture produced by wounds</p> Signup and view all the answers

    What is characteristic of a purulent wound?

    <p>It consists of white blood cells and bacteria.</p> Signup and view all the answers

    Which factor is NOT associated with wound dehiscence?

    <p>High protein diet</p> Signup and view all the answers

    When does infection typically begin for a surgical wound?

    <p>Within 3-5 days</p> Signup and view all the answers

    What is an appropriate nursing intervention for evisceration?

    <p>Apply saline-soaked sterile towels over the wound.</p> Signup and view all the answers

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

    <p>Localized swelling or hematoma</p> Signup and view all the answers

    Which statement best describes a fistula?

    <p>An abnormal passage between two bodily organs.</p> Signup and view all the answers

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

    <p>Thick and purulent</p> Signup and view all the answers

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

    <p>It treats fluid retention and swelling.</p> Signup and view all the answers

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