Exam 25: Wound Care and Dressings

Electrical stimulation treatments last

Clinical Situation: Jane Smith, a 30-year-old obese female had a cholecystectomy (gallbladder removal) 3 days ago. Her gallbladder symptoms began 6 months ago, but the physician wanted her to lose weight before the surgery. She has developed a postoperative infection and now requires wound care and dressing changes. You are assigned to care for Mrs. Smith for your clinical experience. -Several days later the physician asks you to remove Mrs.Smith's staples.The most appropriate action to accomplish this is to place the staple-removing device

Complete the nurses' notes for a wet-to-moist dressing change.Your assessment includes the following data: The incision was healing by secondary intention with the bottom edge starting to close.The exudate was greenish yellow and purulent in nature.Normal saline was used for the dressing change.The discarded dressing was dry and covered with a large amount of exudate.

Clinical Situation: Jane Smith, a 30-year-old obese female had a cholecystectomy (gallbladder removal) 3 days ago. Her gallbladder symptoms began 6 months ago, but the physician wanted her to lose weight before the surgery. She has developed a postoperative infection and now requires wound care and dressing changes. You are assigned to care for Mrs. Smith for your clinical experience. -Commercially prepared sterile packages can be opened and used as a sterile field.

Negative pressure wound therapy will not be used for which one of the following clients? Clients with

Clinical Situation: Jane Smith, a 30-year-old obese female had a cholecystectomy (gallbladder removal) 3 days ago. Her gallbladder symptoms began 6 months ago, but the physician wanted her to lose weight before the surgery. She has developed a postoperative infection and now requires wound care and dressing changes. You are assigned to care for Mrs. Smith for your clinical experience. -The most important principle for maintaining sterility is not to __________ the sterile field.

Which of the following interventions is most beneficial in preventing formation of a pressure ulcer?

Clients using the Warm-Up Therapy system will be required to keep it in place for how long?

Clinical Situation: Jane Smith, a 30-year-old obese female had a cholecystectomy (gallbladder removal) 3 days ago. Her gallbladder symptoms began 6 months ago, but the physician wanted her to lose weight before the surgery. She has developed a postoperative infection and now requires wound care and dressing changes. You are assigned to care for Mrs. Smith for your clinical experience. -You are asked to apply an abdominal binder to Mrs.Smith.You position the binder so it is at the top of the __________ and under her hips at the level of the __________.

The client has a score of 12 on the Norton Scale for assessing the risk for developing a pressure ulcer.What does this indicate?

You are ambulating a client down the hall 7 days after surgery when he suddenly coughs and dehiscence occurs.Your first action is to

Clinical Situation: Jane Smith, a 30-year-old obese female had a cholecystectomy (gallbladder removal) 3 days ago. Her gallbladder symptoms began 6 months ago, but the physician wanted her to lose weight before the surgery. She has developed a postoperative infection and now requires wound care and dressing changes. You are assigned to care for Mrs. Smith for your clinical experience. -When cleaning Mrs.Smith's wound,you start at the __________ area and work to the __________ area.

List four areas of the body most vulnerable to the formation of pressure ulcers. a._________________ b._________________ c._________________ d._________________

Describe how an electrical stimulation is used in wound care therapy.

List the four mechanical factors that contribute to the development of pressure ulcers. a._________________ b._________________ c._________________ d._________________

Clinical Situation: Jane Smith, a 30-year-old obese female had a cholecystectomy (gallbladder removal) 3 days ago. Her gallbladder symptoms began 6 months ago, but the physician wanted her to lose weight before the surgery. She has developed a postoperative infection and now requires wound care and dressing changes. You are assigned to care for Mrs. Smith for your clinical experience. -Briefly describe how to place the contents of a commercially prepared package on the sterile field.

To obtain the ankle-brachial index (ABI),divide the __________ by the __________.

Clients with which one of the following conditions would not be a candidate for electrical stimulation wound therapy?

Clinical Situation: Jane Smith, a 30-year-old obese female had a cholecystectomy (gallbladder removal) 3 days ago. Her gallbladder symptoms began 6 months ago, but the physician wanted her to lose weight before the surgery. She has developed a postoperative infection and now requires wound care and dressing changes. You are assigned to care for Mrs. Smith for your clinical experience. -List three goals of wound care. a.____________ b.____________ c.____________

Circle T if the statement is true or F if the statement is false. A)When putting on sterile gloves,the second glove may be pulled on by grasping the edge of the folded cuff with the sterile gloved hand. B)When opening sterile wrappers,open the first edge toward you. C)When placing medicine cups on a sterile tray,they should be placed near the center of the field. D)The label on the medicine bottle is kept in the uppermost position when pouring. E)Pull the tape away from the incision site when removing soiled dressings. F)Cleanse the wound site by starting at the outer edge and working toward the incision. G)Montgomery straps should be used for most abdominal wounds. H)The Hemovac or Jackson-Pratt suction provides drainage for a wound only when it is compressed. I)When removing sutures,the straight tip of the scissors is placed away from the knot under the suture. J)The staple remover is placed under the staple near the edge for staple removal. K)When removing sterile gloves from the wrapper,it is important to remember that the inside of the wrapper must remain sterile. L)The major goal for a wet-to-damp dressing is to maintain a moist environment.