Question 1

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

Accepted Answer

A) Snip both ends of the sutures. 
B) Apply tension to the suture line to remove the sutures. 
C) Pull the exposed surface of the suture through the tissue below the epidermis. 
D) Apply Steri-Strip if any separation greater than the width of two stitches is present. 
A) Snip both ends of the sutures. 
B) Apply tension to the suture line to remove the sutures. 
C) Pull the exposed surface of the suture through the tissue below the epidermis. 
D) Apply Steri-Strip if any separation greater than the width of two stitches is present.

Question 2

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 3

The physician expects that the patient's wound will have an output of close to 500 mL/day.The nurse anticipates placement of which of the following?

Accepted Answer

A) Dry sterile dressing 
B) Jackson-Pratt (JP)drain 
C) Hemovac drain 
D) No drain 
A) Dry sterile dressing 
B) Jackson-Pratt (JP)drain 
C) Hemovac drain 
D) No drain

Question 4

What should the nurse do when removing intermittent sutures?

Accepted Answer

A) Snip both sides of the suture before removing. 
B) Snip the suture as close to the knot as possible. 
C) Snip the suture as close to the skin as possible. 
D) Pull up the knot to apply as much tension as possible. 
A) Snip both sides of the suture before removing. 
B) Snip the suture as close to the knot as possible. 
C) Snip the suture as close to the skin as possible. 
D) Pull up the knot to apply as much tension as possible.

Question 5

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

Accepted Answer

The answer of _____________ uses the mechanical force (high or...

Question 6

You are explaining negative-pressure wound therapy (NPWT)to a patient.Which of the following statements will help reassure the patient that this type of therapy will support wound healing?

Accepted Answer

A) NPWT optimizes blood flow. 
B) NPWT will remove wound fluid. 
C) NPWT will maintain a moist environment. 
D) NPWT will apply positive pressure to the wound. 
A) NPWT optimizes blood flow. 
B) NPWT will remove wound fluid. 
C) NPWT will maintain a moist environment. 
D) NPWT will apply positive pressure to the wound.

Question 7

How does the skin defend the body?

Accepted Answer

A) Skin serves as a sensory organ for pain. 
B) Skin serves as a sensory organ for touch. 
C) Skin serves as a sensory organ for temperature. 
D) Skin has an acid pH. 
A) Skin serves as a sensory organ for pain. 
B) Skin serves as a sensory organ for touch. 
C) Skin serves as a sensory organ for temperature. 
D) Skin has an acid pH.

Question 8

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 9

The nurse is explaining healing of a full-thickness wound to a patient.Which of the following phases should the nurse include in the explanation?

Accepted Answer

A) Hemostasis 
B) Inflammation 
C) Proliferation 
D) Maturation 
A) Hemostasis 
B) Inflammation 
C) Proliferation 
D) Maturation

Exam 40: Wound Care and Irrigations

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

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?

The physician expects that the patient's wound will have an output of close to 500 mL/day.The nurse anticipates placement of which of the following?

What should the nurse do when removing intermittent sutures?

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

You are explaining negative-pressure wound therapy (NPWT)to a patient.Which of the following statements will help reassure the patient that this type of therapy will support wound healing?

How does the skin defend the body?

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

The nurse is explaining healing of a full-thickness wound to a patient.Which of the following phases should the nurse include in the explanation?

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

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