Exam 40: Wound Care and Irrigations

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

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D

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?

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C

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

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C

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

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Healing by ________ intention occurs when surgical wounds are not closed immediately but are left open for 3 to 5 days to allow edema or infection to diminish.

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The nurse is caring for a patient with a postsurgical wound dehiscence who is being treated with a wet-to-dry dressing.Which of the following can be appropriately delegated to the nurse assistant?

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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?

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Healing by primary intention is expected to occur with which of the following situations?

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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.

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

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

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

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Wounds that have been approved for treatment using negative-pressure wound therapy (NPWT)include which of the following?

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

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The nurse is caring for a patient who has had major abdominal surgery and is concerned about the possibility of dehiscence.During the assessment,the nurse assesses for which of the following contributing factors?

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

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

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

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

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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?

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