Wound Care and Ulcer Management

A nurse is caring for a client with a stage III pressure ulcer. Which finding would the nurse expect to observe?

A nurse is changing a dressing on a surgical wound and observes evisceration. What is the priority nursing intervention?

Which of the following nutrients is most important for wound healing?

A client has a wound healing by second intention. Which of the following characteristics is expected?

A nurse is assessing a client with a wound and notes the presence of slough. Which of the following best describes slough?

Which of the following is a sign of wound infection?

A nurse is caring for a client with a surgical wound. Which type of dressing allows for visualization of the wound?

Which of the following is a primary goal of wound debridement?

A client is at risk for pressure ulcers. How often should the nurse reposition the client?

Which phase of wound healing involves the formation of granulation tissue?

What is the purpose of a hydrocolloid dressing?

A client has a surgical wound with a Jackson-Pratt drain. What is the primary purpose of this drain?

Which of the following is a sign of dehiscence?

What is the purpose of negative pressure wound therapy (NPWT)?

A nurse is assessing a client for risk of pressure ulcers. Which tool is commonly used?

Which of the following is a characteristic of a stage I pressure ulcer?

What is the purpose of a binder in wound care?

A client has a wound with heavy exudate. Which type of dressing is most appropriate?

Which of the following is a sign of effective wound healing?

A nurse is teaching a client about wound care. Which statement indicates the need for further teaching?

Which of the following is a primary goal of wound irrigation?

A client has a wound healing by third intention. Which of the following is a characteristic of this type of healing?

Which of the following is a risk factor for delayed wound healing in older adults?

What is the purpose of a sitz bath?

Which of the following is a sign of effective phagocytosis?

A client has a surgical wound with undermining. What does this indicate?

Which of the following is a characteristic of granulation tissue?

What is the purpose of a transparent film dressing?

Which vitamin is essential for collagen synthesis in wound healing?

A client has a wound with necrotic tissue. Which type of debridement is most appropriate?

What is the purpose of a roller bandage?

Which of the following is a sign of wound dehiscence?

Which of the following is a characteristic of a closed wound?

What is the purpose of a Hemovac drain?

A client with a stage III pressure ulcer is being cared for by a nurse. Which assessment finding is consistent with this stage?

During a dressing change, a nurse observes that a client's surgical wound has eviscerated. What is the most appropriate immediate nursing action?

Which nutrient plays the most significant role in promoting wound healing?

A client's wound is healing by secondary intention. What characteristics would the nurse expect to observe?

During wound assessment, the nurse notes the presence of slough. How should the nurse document this finding?

Which clinical manifestation is most indicative of a wound infection?

For a client with a surgical wound, which type of dressing allows the nurse to assess the wound without removing the dressing?

What is the primary goal of wound debridement?

To prevent pressure ulcers in an immobilized client, how frequently should the nurse implement repositioning?

During which phase of wound healing does the formation of granulation tissue occur?