Question 1

Which of the following approaches is correct technique when wound irrigation is performed?

Accepted Answer

A) Placing the patient in supine position 
B) Placing the syringe directly into the wound 
C) Using sterile technique for a chronic wound 
D) Selecting a soft catheter for deep wounds with small openings 
A) Placing the patient in supine position 
B) Placing the syringe directly into the wound 
C) Using sterile technique for a chronic wound 
D) Selecting a soft catheter for deep wounds with small openings

Question 2

What should the nurse do to reestablish the vacuum of the Hemovac system after emptying?

Accepted Answer

A) Place a safety pin on the part of the drain outside the body. 
B) Replace the cap immediately after emptying. 
C) Pin the drainage tubing to the patient's gown. 
D) Place the Hemovac on a flat surface. 
A) Place a safety pin on the part of the drain outside the body. 
B) Replace the cap immediately after emptying. 
C) Pin the drainage tubing to the patient's gown. 
D) Place the Hemovac on a flat surface.

Question 3

The nurse should consider culturing a wound when which one of the following situations occurs?

Accepted Answer

A) The tissue is clean and dry. 
B) Exudate is not present. 
C) The patient is afebrile. 
D) The surrounding area shows inflammation. 
A) The tissue is clean and dry. 
B) Exudate is not present. 
C) The patient is afebrile. 
D) The surrounding area shows inflammation.

Question 4

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

Accepted Answer

The answer of The Jackson-Pratt (JP)drain relies on the presence...

Question 5

The nurse is educating a patient about his role in wound healing.Which of the following factors,if modified by the patient,can support adequate oxygenation at the tissue level?

Accepted Answer

A) Age 
B) Smoking 
C) Underlying cardiopulmonary conditions 
D) Hemoglobin 
A) Age 
B) Smoking 
C) Underlying cardiopulmonary conditions 
D) Hemoglobin

Question 6

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

Accepted Answer

Sutures
Sutures are

Question 7

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?

Accepted Answer

A) Change the dressing so she can assess the wound. 
B) Administer an analgesic 30 to 45 minutes before a dressing change. 
C) Culture the wound if wound exudate is present. 
D) Administer an analgesic 30 minutes after a dressing change. 
A) Change the dressing so she can assess the wound. 
B) Administer an analgesic 30 to 45 minutes before a dressing change. 
C) Culture the wound if wound exudate is present. 
D) Administer an analgesic 30 minutes after a dressing change.

Question 8

The nurse is explaining wound healing to a patient.Which of the following statements explains the healing that occurs during the inflammatory stage of wound healing in a full-thickness wound?

Accepted Answer

A) A reduction in the size of the wound is noted. 
B) The epithelial cells duplicate. 
C) Synthesis of collagen occurs at the site. 
D) Blood flow to the wound and arrival of white blood cells are increased. 
A) A reduction in the size of the wound is noted. 
B) The epithelial cells duplicate. 
C) Synthesis of collagen occurs at the site. 
D) Blood flow to the wound and arrival of white blood cells are increased.

Question 9

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

Accepted Answer

A) The wound edges are separated. 
B) No drainage or erythema is present. 
C) The patient is anxious about their removal. 
D) A cosmetically aesthetic result would not be achieved. 
A) The wound edges are separated. 
B) No drainage or erythema is present. 
C) The patient is anxious about their removal. 
D) A cosmetically aesthetic result would not be achieved.

Exam 40: Wound Care and Irrigations

Which of the following approaches is correct technique when wound irrigation is performed?

What should the nurse do to reestablish the vacuum of the Hemovac system after emptying?

The nurse should consider culturing a wound when which one of the following situations occurs?

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

The nurse is educating a patient about his role in wound healing.Which of the following factors,if modified by the patient,can support adequate oxygenation at the tissue level?

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

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?

The nurse is explaining wound healing to a patient.Which of the following statements explains the healing that occurs during the inflammatory stage of wound healing in a full-thickness wound?

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

Using Evidence in Practice

Admitting, Transfer, and Discharge

Communication and Collaboration

Documentation and Informatics

Vital Signs

Health Assessment

Specimen Collection

Diagnostic Procedures

Medical Asepsis

Sterile Technique

Safe Patient Handling, Transfer, and Positioning

Exercise Mobility

Support Surfaces and Special Beds

Patient Safety

Disaster Preparedness

Pain Management

Palliative Care

Personal Hygiene and Bed Making

Care of the Eye and Ear

Safe Medication Preparation

Administration of Nonparenteral Medications

Administration of Parenteral Medications

Oxygen Therapy

Performing Chest Physiotherapy

Airway Management

Cardiac Care

Closed Chest Drainage Systems

Emergency Measure for Life Support

Intravenous and Vascular Access Therapy

Blood Therapy

Oral Nutrition

Enteral Nutrition

Parenteral Nutrition

Urinary Elimination

Bowel Elimination and Gastric Intubation

Ostomy Care

Preoperative and Postoperative Care

Intraoperative Care

Pressure Injury Prevention and Care

Dressings, Bandages, and Binders

Therapeutic Use of Heat and Cold

Home Care Safety

Home Care Teaching

Filters