Wound Care Nursing Quiz
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Questions and Answers

When performing wound irrigation, which of the following actions is MOST crucial for effective debris removal and prevention of backflow?

  • Adjust the solution flow to a high pressure to dislodge debris effectively.
  • Position the patient so the wound is horizontal to the collection basin.
  • Position the patient so gravity causes the solution to flow from the wound directly to the collection basin. (correct)
  • Ensure the flow of solution is pulsating rather than continuous.

    • A patient with a heavily draining wound requires a dressing change. Based on the provided information, which option BEST describes the approach and dressing type to use?

  • Use alginate dressings in conjunction with other dressings as needed to manage the drainage. (correct)
  • Use only antimicrobial dressings to prevent infection.
  • Use foam dressings only to maintain a moist healing environment as it is the main treatment for heavily draining wounds.
  • Use alginate dressing alone directly on the wound to provide a sterile environment.

    • Which statement accurately reflects the primary purpose of applying topical antimicrobials to a wound?

  • To eliminate existing, spreading infections throughout the body.
  • To promote rapid granulation and tissue regeneration in deep wounds.
  • To decrease the chance of bacterial growth at the wound surface, providing a broad-spectrum effect. (correct)
  • To provide targeted therapy for specific bacteria strains identified in the wound bed.

    • What is the MOST important reason for using 0.9% NaCl (normal saline) when cleansing a wound?

    <p>It is a sterile solution that is gentle enough for cleansing and does not interfere with the healing process.</p> Signup and view all the answers

    A patient with a Stage IV pressure ulcer has a moderate amount of exudate and requires a dressing change. When planning for the procedure, which action should be taken FIRST?

    <p>Administer analgesia, if required, for patient comfort about 30 minutes prior.</p> Signup and view all the answers

    Which of the following is the MOST critical step to prevent contamination when removing sutures?

    <p>Cutting the suture under the knot and pulling it out from under the skin.</p> Signup and view all the answers

    Why is it important to count staples before and after removal?

    <p>To identify if a staple has been missed or retained in the skin.</p> Signup and view all the answers

    A nurse is preparing to remove sutures from a patient's leg wound. Aside from using sterile technique, which of the following actions would be MOST appropriate?

    <p>Removing every other suture, observing the incision for separation.</p> Signup and view all the answers

    Which of the following factors does NOT influence the decision on the type of suture to use?

    <p>The patient's preferred method of wound closure.</p> Signup and view all the answers

    Why is it important to administer analgesics 30 minutes before a suture or staple removal procedure?

    <p>To minimize patient discomfort during suture or staple removal.</p> Signup and view all the answers

    When examining a patient's drain site, which of the following assessments is NOT needed?

    <p>History of past surgical sites the patient has had.</p> Signup and view all the answers

    During the proliferative phase of wound healing, which of the following processes is NOT a primary focus?

    <p>Collagen remodeling for strength</p> Signup and view all the answers

    Which physiological effect directly impedes optimal wound healing due to reduced oxygen perfusion?

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

    A patient's wound is showing signs of impaired epithelialization, reduced collagen synthesis, and a prolonged inflammatory response. Which of the following underlying conditions would most likely contribute to these issues?

    <p>Diabetes Mellitus</p> Signup and view all the answers

    What is the MOST immediate concern when a dressing appears to have a 'large' amount of drainage?

    <p>The dressing material is inadequate for absorption</p> Signup and view all the answers

    Besides protection and absorption, which additional rationale explains the use of wound dressings?

    <p>Provide compression for hemostasis</p> Signup and view all the answers

    Which objective finding most influences the specific type of dressing selected for a wound?

    <p>Presence of necrotic tissue</p> Signup and view all the answers

    A wound assessed prior to a dressing change presents with edema, what direct affect does this MOST likely have on wound healing?

    <p>Reduced oxygen perfusion</p> Signup and view all the answers

    What is the primary reason for using wound packing?

    <p>To fill empty space in the wound and prevent abscess formation.</p> Signup and view all the answers

    When preparing to pack a wound, which of these options is the most appropriate solution to moisten the packing?

    <p>Normal saline.</p> Signup and view all the answers

    Which of the following strategies should be employed when packing a wound?

    <p>Use packing material to fill all dead space without going above the wound surface.</p> Signup and view all the answers

    What is the purpose of performing a wound culture and sensitivity test?

    <p>To identify the microorganisms present and their susceptibility to antimicrobials.</p> Signup and view all the answers

    What is an important step before swabbing for a wound culture?

    <p>Cleansing the wound.</p> Signup and view all the answers

    During a wound culture, what specific area should be swabbed to ensure an accurate culture?

    <p>Viable tissue within the wound, using a 1 cm^2 area.</p> Signup and view all the answers

    What is the primary function of surgical drains in wound management?

    <p>To remove accumulated wound drainage, facilitating healing.</p> Signup and view all the answers

    When caring for a surgical drain, which procedural step is typically prioritised?

    <p>Re-establishing the drain's vacuum after cleaning the port.</p> Signup and view all the answers

    Which option below is a correct practice for care of surgical drains?

    <p>Use sterile technique when opening and emptying the drain.</p> Signup and view all the answers

    What is the minimum temperature required for steam sterilization to effectively kill all microorganisms?

    <p>121°C</p> Signup and view all the answers

    Which of the following best describes the use of sterile indicators?

    <p>They are used to confirm the sterility of multi-use instruments after sterilization.</p> Signup and view all the answers

    An event-related expiration of a sterile package would most likely occur when:

    <p>The package has been punctured or has become wet.</p> Signup and view all the answers

    Which type of wound healing involves granulation tissue filling the wound and is associated with a higher risk of infection?

    <p>Secondary intention</p> Signup and view all the answers

    A surgical wound is left open for several days to allow edema to decrease. What type of wound healing is this?

    <p>Tertiary intention</p> Signup and view all the answers

    In which wound healing process do the edges of a clean surgical wound remain closed, with minimal tissue loss?

    <p>Primary intention</p> Signup and view all the answers

    Which factor does not directly impact the wound healing process?

    <p>Patient's age</p> Signup and view all the answers

    Which of the following is NOT a direct impact of wounds on patients?

    <p>Socioeconomic status</p> Signup and view all the answers

    A surgical incision is described as 'well approximated' when:

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

    Which of the following situations would necessitate a change in a wound dressing, according to general guidelines?

    <p>The dressing is saturated with wound drainage.</p> Signup and view all the answers

    Gauze dressings are best suited for which of the following wound types?

    <p>Deep cavity wounds that need packing support.</p> Signup and view all the answers

    Transparent film dressings are unsuitable for which situation?

    <p>Wounds with large amounts of exudate.</p> Signup and view all the answers

    Hydrocolloid dressings are primarily indicated for:

    <p>Noninfected wounds with necrotic tissue.</p> Signup and view all the answers

    A hydrogel dressing is most effective when used on which type of wound?

    <p>A dry wound bed needing moisture added to support the healing process.</p> Signup and view all the answers

    If visible autolyzed material is within 1.0 cm of the border of the dressing on a client using a hydrocolloid dressing, what is the recommended course of action?

    <p>Change the hydrocolloid dressing as the autolyzed material is too close to the edges.</p> Signup and view all the answers

    Which situation represents a contraindication for using a hydrocolloid dressing?

    <p>A full thickness wound exhibiting signs of infection</p> Signup and view all the answers

    A physician's order for a dressing change is:

    <p>A critical factor in determining when a dressing change is required.</p> Signup and view all the answers

    How frequently should a hydrogel dressing be changed in the typical treatment of wounds?

    <p>Every 2-4 days.</p> Signup and view all the answers

    Study Notes

    Alginates

    • Highly absorbent
    • Made from seaweed
    • Stretchable gel forms
    • Absorb wounds when exposed to exudate
    • Protect wounds and maintain moist healing environment
    • For moderately draining wounds
    • Can be used in conjunction with other covering dressing to provide additional absorption of exudate
    • Moderate-to-heavy exudate wounds
    • Stage III-IV pressure wounds

    Foam dressings

    • Absorbent
    • Protect wounds and maintain moist healing environment
    • Dry wounds
    • Ischemic wounds
    • Third degree wounds

    Antimicrobials

    • Applied topically to the wound where they exert a broad spectrum of antibacterial action
    • Reduce the likelihood of bacteria developing at the wound surface
    • Does not eliminate a spreading infection
    • Do not use when infection is not present, or where there isn't significant risk of infection

    What is important to know in regard to dressing changes?

    • Sterile procedure
    • Perform all necessary supplies
    • Gather hand hygiene before, during and after
    • Provide privacy
    • Allow family/caregivers to be present
    • Educate the patient and family
    • Assess the wound
    • Cleanse with proper solution across an open wound surface

    What is wound irrigation?

    • The steady flow of a solution across an open wound surface
    • Softens and loosens necrotic tissue

    What are the purposes of wound irrigation?

    • Cleanses and removes exudate
    • Promotes wound healing by:
      • Removing debris from wound surface
      • Decreasing bacteria in wound
      • Loosening and removing eschar

    What do you need to know to perform wound irrigation?

    • Wear proper PPE
    • Position patient properly
    • Solution should flow by gravity over the wound and into the collection basin
    • Place padding or towels vertical to basin area
    • Immediately notify physician if you assess:
      • Drainage on dressing (type, odor & amount) (scant, small, moderate, large, saturated)
      • Color of peri-wound skin

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    Description

    Test your knowledge on effective wound care practices, including irrigation techniques, dressing changes, and antimicrobial applications. This quiz will cover crucial steps in managing various types of wounds, including pressure ulcers and sutures. Perfect for nursing students and professionals looking to reinforce their skills.

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