Exam 14: Surgical Wound Care

What technique will the nurse implement to assist the postoperative patient to cough?

The day following surgery,the nurse notes bloody drainage on the dressing.How will the nurse describe this drainage when documenting?

The Centers for Disease Control and Prevention (CDC)classifies wounds according to the amount of contamination.What is the classification for an uninfected surgical wound with less than a 5% chance of becoming infected postoperatively?

The nurse assessing a patient's wound notes thick,yellow drainage.How will the nurse most accurately document this finding?

The nurse is irrigating a leg wound of a patient on the trauma unit.Where should the nurse direct the flow of the irrigant?

Which solution(s)can be used on a wet-to-dry dressing? (Select all that apply.)

The nurse observes a loop of bowel protruding from the surgical incision.What is the first intervention the nurse should implement?

The nurse is removing every other staple from a surgical wound,which has been closed with 15 staples.The wound begins to separate after removal of 3 of the 15.What nursing action should be implemented?

The nurse is assisting a patient to a sitting position when the patient suddenly complains of feeling that his surgical incision has separated.What does the nurse recognize that this indicates?

The nurse is instructing a patient about the effects of smoking.What accurate information does the nurse provide?

The nurse is caring for a patient during the first 24 hours following surgery.How often will the nurse assess for bleeding under the dressing?

The nurse is providing instruction to a patient regarding home wound irrigation.How far should the patient hold the hand-held showerhead from the wound when irrigating the wound?

What are the advantages of a transparent dressing? (Select all that apply.)

The nurse assessing a patient's wound notes bright red drainage.How will the nurse most accurately document this finding?

What is the classification for the Jackson-Pratt drainage removal system?

The nurse encourages a patient recovering from a hysterectomy to drink at least _______ mL of fluid a day.

The nurse is preparing to redress a wound and will secure the dressing using a gauze bandage as ordered by the physician.What is an advantage of gauze bandages?

The nurse informs a patient that a wet-to-dry dressing is applied wet and allowed to dry.This drying process causes it to adhere to the wound.What is the result of this intervention when the dressing is removed?

What marked advantage does primary intention have over other phases of wound healing?

When preparing to remove a dressing,the nurse should don __________ gloves.