Question 1

You are explaining wound healing to your patient.You are trying to explain the healing process in a full-thickness wound.Which of the following phases should you include in your explanation? (Select all that apply.)

Accepted Answer

In a full-thickness wound, the phases include hemostasis, inflammation, proliferation, and maturation.

Question 2

You are irrigating a wound and are trying to make sure you get the wound adequately cleansed.Which of the following should you avoid?

Accepted Answer

Do not force a catheter into a wound because this will cause tissue damage.Using a 19-gauge angiocatheter and a 35-cc syringe is acceptable.If you need to irrigate a deep wound with a small opening, use a soft catheter and insert it 1.3 cm to avoid touching the fragile inner wall of the wound.

Question 3

Wounds that have been approved for treatment using NPWT include which of the following? (Select all that apply.)

Accepted Answer

Chronic wounds such as pressure ulcers, diabetic ulcers, traumatic wounds, and venous stasis ulcers are approved for NPWT.

Question 4

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

Accepted Answer

The answer of ___________ are threads of wire or other...

Question 5

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

Accepted Answer

The answer of The Jackson-Pratt (JP) drain relies on the...

Question 6

How does the skin defend the body? (Select all that apply.)

Accepted Answer

The skin defends the body by serving as a sensory organ for pain, touch, and temperature, and it has an acid pH, which is often called the "acid mantle."

Question 7

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?

Accepted Answer

Wound assessment and sterile dressing changes cannot be delegated to nursing assistive personnel (NAP).The nurse can direct the NAP to report any drainage from the wound that is present on the sheets or as strike-through from the dressing.The NAP should not be reporting this to a physician.

Question 8

The nurse is caring for a patient who has had major abdominal surgery.She is concerned about the possibility of dehiscence.During her assessment, she makes sure she assesses for which of the following contributing factors? (Select all that apply.)

Accepted Answer

Factors that contribute to surgical wound dehiscence include anemia, malnutrition, obesity, and use of steroids.

Question 9

_____________ 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 10

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? (Select all that apply.)

Accepted Answer

NPWT supports wound healing by optimizing blood flow, removing wound fluid, and maintaining a moist environment.

Question 11

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

Accepted Answer

The answer of ___________ is black, brown, or tan tissue...

Question 12

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.

Accepted Answer

The answer of The _____________ is composed of newly formed...

Question 13

A failure of wound healing in which the surgical wound breaks, separates, and opens to the fascial level is known as ______________.

Accepted Answer

The answer of A failure of wound healing in which...

Question 14

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.

Accepted Answer

The answer of Healing by ________ intention occurs when surgical...

Question 15

Physiologically, wound healing occurs in the same way for all patients, with some tissues (including the vascular tissues) regenerating quickly and others regenerating slowly or not at all.The latter group includes which of the following cells? (Select all that apply.)

Accepted Answer

Physiologically, wound healing occurs in the same way for all patients, with skin cells and some tissues (including the vascular tissues) regenerating quickly and others regenerating slowly or not at all.The latter group includes cells of the liver, renal tubules, and central nervous system neurons.

Quiz 38: Wound Care and Irrigations