Question 1

The provider suspects a patient has a wound infection.What action does the nurse take first?

Accepted Answer

A)  Administer the ordered antibiotic. 
B)  Obtain wound cultures. 
C)  Assess the patient's pain. 
D)  Change the dressing. 
A)  Administer the ordered antibiotic. 
B)  Obtain wound cultures. 
C)  Assess the patient's pain. 
D)  Change the dressing.

Question 2

The nurse teaches a patient about self-care of two Jackson-Pratt drains after breast surgery.What does the nurse include in patient teaching?

Accepted Answer

A)  Empty the drain every 2 hours and measure the contents. 
B)  Maintain a small, steady amount of tension on the drain tubing. 
C)  Record the amount removed from each drain separately. 
D)  Keep the collection end of the drain lower than the patient's waist. 
A)  Empty the drain every 2 hours and measure the contents. 
B)  Maintain a small, steady amount of tension on the drain tubing. 
C)  Record the amount removed from each drain separately. 
D)  Keep the collection end of the drain lower than the patient's waist.

Question 3

While cleaning a wound, the nurse determines that undermining is at the top of the wound.Which documentation of the wound by the nurse is best?

Accepted Answer

A)  Dark pink wound with undermining at 2 o'clock 
B)  Wound clean and without odor with slight undermining toward patient's head 
C)  See photograph of wound taken today 
D)  Pale pink wound 2 cm * 3 cm * 2 cm deep with undermining at 12 o'clock 
A)  Dark pink wound with undermining at 2 o'clock 
B)  Wound clean and without odor with slight undermining toward patient's head 
C)  See photograph of wound taken today 
D)  Pale pink wound 2 cm * 3 cm * 2 cm deep with undermining at 12 o'clock

Question 4

The nurse is preparing to perform a wound irrigation on a 7-year-old child who is uncooperative.Which of the following will be the most helpful in alleviating the child's fear?

Accepted Answer

A)  Restrain the child because. 
B)  Have the parents leave the room. 
C)  Describe the wound irrigation in detail. 
D)  Use a doll to show how you will irrigate the wound. 
A)  Restrain the child because. 
B)  Have the parents leave the room. 
C)  Describe the wound irrigation in detail. 
D)  Use a doll to show how you will irrigate the wound.

Question 5

The nurse teaches a patient about Steri-Strips after suture removal.What information does the nurse include in patient teaching?

Accepted Answer

A)  They provide a skin barrier. 
B)  They provide gentle support. 
C)  They prevent scarring of the wound. 
D)  They collect additional drainage. 
A)  They provide a skin barrier. 
B)  They provide gentle support. 
C)  They prevent scarring of the wound. 
D)  They collect additional drainage.

Question 6

The nurse prepares to remove the patient's sutures and staples.Which step does the nurse implement before proceeding with the removal?

Accepted Answer

A)  Assess the type of suture material used. 
B)  Snip off both ends of the suture material. 
C)  Cleanse crusting with hydrogen peroxide. 
D)  Plan staple removal for postoperative day 5. 
A)  Assess the type of suture material used. 
B)  Snip off both ends of the suture material. 
C)  Cleanse crusting with hydrogen peroxide. 
D)  Plan staple removal for postoperative day 5.

Question 7

A patient has an abdominal wound with a Hemovac drain in place.Which technique does the nurse implement to maintain optimal suction in the drain?

Accepted Answer

A)  Replace the Hemovac drain when full. 
B)  Attach the tubing to the patient's gown. 
C)  Compress the Hemovac on a flat surface after emptying. 
D)  Apply high continual suction to the Hemovac plug. 
A)  Replace the Hemovac drain when full. 
B)  Attach the tubing to the patient's gown. 
C)  Compress the Hemovac on a flat surface after emptying. 
D)  Apply high continual suction to the Hemovac plug.

Question 8

The nurse needs to apply a dry sterile dressing.Which does the nurse implement first?

Accepted Answer

A)  Inspect the appearance of the wound. 
B)  Remove excess moisture from the wound. 
C)  Cleanse the wound with sterile saline solution. 
D)  Prepare the sterile field for supplies. 
A)  Inspect the appearance of the wound. 
B)  Remove excess moisture from the wound. 
C)  Cleanse the wound with sterile saline solution. 
D)  Prepare the sterile field for supplies.

The provider suspects a patient has a wound infection.What action does the nurse take first?

The nurse teaches a patient about self-care of two Jackson-Pratt drains after breast surgery.What does the nurse include in patient teaching?

While cleaning a wound, the nurse determines that undermining is at the top of the wound.Which documentation of the wound by the nurse is best?

The nurse is preparing to perform a wound irrigation on a 7-year-old child who is uncooperative.Which of the following will be the most helpful in alleviating the child's fear?

The nurse teaches a patient about Steri-Strips after suture removal.What information does the nurse include in patient teaching?

The nurse prepares to remove the patient's sutures and staples.Which step does the nurse implement before proceeding with the removal?

A patient has an abdominal wound with a Hemovac drain in place.Which technique does the nurse implement to maintain optimal suction in the drain?

The nurse needs to apply a dry sterile dressing.Which does the nurse implement first?

Using Evidence in Nursing Practice

Communication and Collaboration

Documentation and Informatics

Patient Safety and Quality Improvement

Infection Control

Disaster Preparedness

Vital Signs

Health Assessment

Specimen Collection

Diagnostic Procedures

Bathing and Personal Hygiene

Care of the Eye and EAR

Promoting Nutrition

Parenteral Nutrition

Pain Management

Promoting Oxygenation

Safe Patient Handling

Exercise, Mobility, Immobilization Devices

Urinary Elimination

Bowel Elimination

Ostomy Care

Preparation for Safe Medication Administration

Nonparenteral Medications

Parenteral Medications

Pressure Injury Prevention and Care

Dressings, Bandages, and Binders

Intravenous Therapy

Pre-Operative and Post-Operative Care

Emergency Measures for Life Support

End-Of-Life Care

Home Care Safety

Filters

Exam 25: Wound Care and Irrigation

The provider suspects a patient has a wound infection.What action does the nurse take first?

The nurse teaches a patient about self-care of two Jackson-Pratt drains after breast surgery.What does the nurse include in patient teaching?

While cleaning a wound, the nurse determines that undermining is at the top of the wound.Which documentation of the wound by the nurse is best?

The nurse is preparing to perform a wound irrigation on a 7-year-old child who is uncooperative.Which of the following will be the most helpful in alleviating the child's fear?

The nurse teaches a patient about Steri-Strips after suture removal.What information does the nurse include in patient teaching?

The nurse prepares to remove the patient's sutures and staples.Which step does the nurse implement before proceeding with the removal?

A patient has an abdominal wound with a Hemovac drain in place.Which technique does the nurse implement to maintain optimal suction in the drain?

The nurse needs to apply a dry sterile dressing.Which does the nurse implement first?

Using Evidence in Nursing Practice

Communication and Collaboration

Documentation and Informatics

Patient Safety and Quality Improvement

Infection Control

Disaster Preparedness

Vital Signs

Health Assessment

Specimen Collection

Diagnostic Procedures

Bathing and Personal Hygiene

Care of the Eye and EAR

Promoting Nutrition

Parenteral Nutrition

Pain Management

Promoting Oxygenation

Safe Patient Handling

Exercise, Mobility, Immobilization Devices

Urinary Elimination

Bowel Elimination

Ostomy Care

Preparation for Safe Medication Administration

Nonparenteral Medications

Parenteral Medications

Pressure Injury Prevention and Care

Dressings, Bandages, and Binders

Intravenous Therapy

Pre-Operative and Post-Operative Care

Emergency Measures for Life Support

End-Of-Life Care

Home Care Safety

Filters