Exam 25: Wound Care and Dressings

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 preparing to complete a dressing change for Mrs.Smith.Place in sequence from 1 to 10 the activities you perform.(An activity may be performed more than one time. ) __________ a.Remove old dressing. __________ b.Don sterile gloves. __________ c.Prepare a sterile field. __________ d.Obtain a wound culture specimen. __________ e.Don clean gloves. __________ f.Wash your hands. __________ g.Cleanse the wound. __________ h.Apply sterile dressing. __________ i.Discard clean gloves. __________ j.Discard sterile gloves.

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. -If Mrs.Smith's wound becomes infected,healing takes place by __________ healing.

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 putting on sterile gloves,the most important concept to remember is to keep both gloves in __________ of you and above your __________.

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 placing the sterile 4*4 gauze pads on Mrs.Smith's incision,you did not cover the incision as you intended.You should

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. -In addition to the obvious obesity factor,list three factors that might have affected wound healing in Mrs.Smith's condition. a.____________ b.____________ c.____________

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. -While setting up the sterile field,state four guidelines that need to be followed to maintain sterility. a._________________ b._________________ c._________________ d._________________

List three of the four wound care protocols that need to be completed each time a dressing is changed for an open wound. a.___________ b.___________ c.___________

Which wound assessment findings indicate the vacuum assisted closure V.A.C can be implemented in treatment of the wound?

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. -Which hand,dominant,or nondominant,is usually placed in a sterile glove first?

Before surgery,clients are assessed to determine risk factors associated with surgical site infections (SSIs).List 2 risk factors.

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. -While preparing for your clinical experience,you remember that healing takes place in the following three major phases. a.___________ b.___________ c.___________

When applying a transparent dressing to a pressure ulcer,the most important principle is to keep it .

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 cleansing the skin under a drain site,you use a __________ motion,moving from the __________ of the drain site to the __________ of the wound.

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. -Mrs.Smith has a Hemovac suction in place.Briefly describe how to reestablish the closed drainage system after emptying the suction.