Exam 38: Wound Care and Irrigations

What is an appropriate technique for the nurse to implement for drainage evacuation?

_____________ uses the mechanical force (either high or low)of a stream of solution to remove debris,bacteria,and necrotic tissue from a wound.

On which types of wounds may the nurse use a pulsatile high-pressure lavage for irrigation?

The nurse is caring for a patient who has a dressing over a surgical wound created the night before.The dressing has never been changed.How should the nurse proceed?

__________________is a mechanical wound care treatment that uses controlled negative pressure to assist and accelerate wound healing.The most common commercial brand is called Wound (V.A.C.).

When performing wound irrigation,a nurse uses appropriate technique when:

In a full-thickness wound,the phases include which of the following? (Select all that apply.)

What should the nurse do when performing suture or staple removal?

The Jackson-Pratt (JP)drain relies on the presence of a vacuum to withdraw drainage and is considered a __________ drainage system.

___________________ is a failure of wound healing,with total separation of the layers of the wound and protrusion of the internal organs through the wound.

When is healing by primary intention expected?

A failure of wound healing in which the surgical wound breaks,separates,and opens to the fascial level is known as ______________.

How does the skin defend the body? (Select all that apply.)

___________ is black,brown,or tan tissue in the wound that should be removed before wound healing can begin.

For the absorption of heavy exudate from a wound,a nurse selects which of the following dressings?

Which situation noticed during evaluation would determine that the staples or the sutures should remain in place?

___________ are stainless steel wires used to hold body tissues together.

The nurse prepares to irrigate the patient's wound.What is the primary reason for this procedure?

The nurse answers the patient's call light to find the patient agitated and stating that she "felt something pop." The nurse finds that the patient's abdominal surgical wound has eviscerated.What should the nurse do?

Wounds that are left open and are allowed to heal by scar formation are classified as healing by _________ intention.