Exam 38: Wound Care and Irrigations

Wounds that have been approved for treatment using NPWT include which of the following? (Select all that apply.)

The nurse is caring for a patient who has had major abdominal surgery.She is concerned about the possibility of dehiscence.She realizes that factors that contribute to surgical wound dehiscence include which of the following? (Select all that apply.)

Intact ________ is the body's first line of defense against invasion by infectious microorganisms.

A Penrose drain is considered an __________ drain system because it removes drainage from the wound and deposits it onto the skin surface.

What should the nurse do when removing intermittent sutures?

Negative-pressure-wound therapy (NPWT)supports wound healing by which of the following? (Select all that apply.)

Viable tissue is normally red to pink and moist in appearance.This type of tissue is called ____________ tissue and indicates a wound that is moving toward healing.

A partial-thickness wound (loss of tissue limited to epidermis and partial dermis)heals by the process of ______________.

Physiologically,wound healing occurs in the same way for all patients,with some tissues (including the vascular tissues)regenerating quickly and others regenerating slowly or not at all.The latter group includes which of the following cells? (Select all that apply.)

Which of the following occurs during the inflammatory stage of wound healing in a full-thickness wound?

The nurse is in the process of irrigating the wound for a patient who has a large pressure ulcer on his buttock.How should the nurse proceed?

When should a nurse consider culturing a wound?

The nurse is caring for a patient with a large stasis ulcer.She has just changed the wound dressing and is using a negative-pressure-wound system.What does the nurse understand about the functioning of this system?

Healing by _____________ intention occurs when the edges of a clean surgical incision remain close together.

The nurse is changing a surgical dressing and is cleansing the wound.She knows that:

The physician reports that he is expecting that the patient's wound will have an output of close to 500 mL per day.The nurse anticipates the placement of which of the following?

A full-thickness wound (total loss of skin layers as well as some deeper tissues)heals by ____ formation.

___________ are threads of wire or other materials used to sew body tissues together.

The _____________ is composed of newly formed collagen,and the nurse can usually feel it along a healing wound.It is usually present directly under the suture line between days 5 and 9.

When teaching about wound care in the home environment,the nurse instructs the patient and caregiver to: