Exam 39: Dressings,bandages,and Binders

Which finding may indicate to a nurse that a patient is going into hypovolemic shock?

To support large abdominal incisions (e.g.,following hernia repair)that are vulnerable to tension or stress as the patient moves or coughs,the nurse expects that the doctor will order an ____________.

_______________ dressings (e.g.,Op-Site,Tegaderm)allow you to assess the wound without removing the dressing.

A __________ dressing comes in direct contact with the wound bed.

Both _________________ debriding agents are applied directly to the wound bed and act by breaking down dead tissue.

______________ dressings (e.g.,Algisite M,Restore,Sorbisan)are highly absorbent and absorb serous fluid or exudate to form a hydrophilic gel that conforms to the shape of the wound.

A _________ bandage is a temporary treatment to control excessive bleeding.

What should the nurse remember to do when applying a hydrocolloid dressing?

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

Moist-to-dry dressings consist of gauze moistened with an appropriate solution.What should the nurse do when caring for a patient who has a pressure wound that requires debridement?

The nurse is caring for a patient who had a negative-pressure wound dressing.The nurse realizes that the system is working properly when the vacuum setting is set at which of the following levels?

_____________ dressings cover or hold primary dressings in place.

______________ through a wound dressing is a reliable measure of the moisture retention capacity of the dressings.

Serious hemorrhaging has resulted in the patient experiencing a fluid and electrolyte imbalance.How should the nurse respond?

Understanding WVTR and how dressing types affect water transmission are important in selection of proper wound dressings for specific wounds.When the following dressings are compared,which is seen to have a low WVTR?

______ dressings (e.g.,Allevyn,PolyMem,Lyofoam)absorb light to heavy amounts of exudate,are conformable,and can easily be made to fit a wound.These properties make them especially useful for treating draining ulcers.

The nurse is changing a dry,woven gauze dressing when she notices that the gauze has inadvertently stuck to the wound.What should the nurse do?

Negative-pressure wound therapy (NPWT)would be contraindicated in which of the following? (Select all that apply.)

For a patient with a transparent film dressing,the nurse assesses that there is white,opaque fluid accumulation and the surrounding tissue is inflamed.How should the nurse respond?

_________________ dressings (e.g.,Curisol,IntraSite Gel,Vigilon)have a high moisture content (95%),causing them to swell and retain fluid.They are useful over clean,moist,or macerated tissues.