Deck 39: Dressings,bandages,and Binders

Question 1

Moist-to-dry dressings consist of gauze moistened with an appropriate solution.What should the nurse do when caring for a patient who has a pressure wound that requires debridement?

A) Saturate the primary dressing with saline or lactated Ringer's solution
B) Moisten the primary dressing with saline or lactated Ringer's solution
C) Moisten the primary dressing with acetic acid
D) Moisten the primary dressing with povidone-iodine

Answer 1

Moisten the primary dressing with saline or lactated Ringer's solution

Question 2

What should the nurse remember to do when applying a hydrocolloid dressing?

A) Apply granules after applying the wafer
B) Never use a secondary dressing
C) Hold the dressing in place
D) Use silk tape to hold the dressing in place

Answer 2

Hold the dressing in place

Question 3

The patient is being sent home from the hospital following a cardiac catheterization.What should the nurse instruct the patient to do,if bleeding should occur at the femoral artery puncture site?

A) Call the physician immediately
B) Call 9-1-1
C) Apply pressure to the site
D) Apply a new bandage

Answer 3

Apply pressure to the site

Question 4

What should the nurse do for a patient who is having a wet-to-dry dressing applied?

A) Moisten the old inner dressing to remove it
B) Pack the gauze in flat pieces into the wound
C) Wet the new inner dressing with a cytotoxic solution
D) Apply a secondary dressing over the inner wet packing

Question 5

When assessing a patient with a hydrocolloid dressing,the nurse finds the formation of a soft,white-yellow gel that is adherent to the wound and has a very slight odor.How does the nurse evaluate this outcome?

A) As an expected occurrence
B) As a wound infection requiring a culture
C) As an adverse reaction to the hydrocolloid components
D) As excessive exudate requiring a different type of dressing

Question 6

Understanding water vapor transmission rate (WVTR)and how dressing types affect water transmission are important in the selection of proper wound dressings for specific wounds.When the following dressings are compared,which is seen to have a high WVTR?

A) Hydrocolloid dressings
B) Film dressings
C) Foam dressings
D) Gauze dressings

Question 7

How should the nurse proceed when applying a pressure bandage?

A) Elevate the extremity or area of bleeding
B) Wrap pressure-bandage gauze in a proximal-to-distal direction
C) Apply pressure to diminish the pulse to the distal body part
D) Wrap tape around the circumference of the site to secure the gauze padding

Question 8

The nurse is changing a dry,woven gauze dressing when she notices that the gauze has inadvertently stuck to the wound.What should the nurse do?

A) Pull the dressing off to aid in debridement
B) Recover the dressing and leave in place
C) Moisten the gauze to minimize trauma
D) Ensure that the shiny side of the dry gauze dressing does not stick

Question 9

The nurse is changing a film dressing over a wound that is showing a large amount of drainage.How should the nurse proceed?

A) Apply a film dressing after culturing the wound
B) Apply a film dressing after cleansing the area
C) Choose another type of dressing for this wound
D) Keep the wound open to air

Question 10

For a patient with a transparent film dressing,the nurse assesses that there is white,opaque fluid accumulation and the surrounding tissue is inflamed.How should the nurse respond?

A) Culture the wound
B) Leave the current dressing in place
C) Apply gauze over the top of the dressing
D) Remove and stretch the film more tightly over the wound

Question 11

The nurse is caring for a patient who is bleeding.To control bleeding,she would apply which of the following dressings?

A) A pressure dressing
B) An alginate dressing
C) A foam dressing
D) A hydrocolloid dressing

Question 12

Which finding may indicate to a nurse that a patient is going into hypovolemic shock?

A) Skin dryness
B) A decrease in pulse rate
C) Flushing and warmth
D) An increase in blood pressure

Question 13

Serious hemorrhaging has resulted in the patient experiencing a fluid and electrolyte imbalance.How should the nurse respond?

A) Initiate intravenous (IV) therapy
B) Order blood for transfusions
C) Remove and reapply any dressings
D) Monitor vital signs every 15 minutes

Question 14

The patient has a large,deep wound on the sacral region.How would the nurse correctly pack the wound?

A) By filling two thirds of the wound cavity
B) By leaving saline-soaked folded gauze squares in place
C) By putting the dressing in very tightly
D) By extending only to the upper edge of the wound

Question 15

The patient is brought from a construction site to the emergency department with a pipe puncturing his abdomen.The pipe is still in place.The patient is triaged and is scheduled for the operating room.What should the nurse do while waiting for the surgeon?

A) Pull the pipe out in the direction of entry
B) Push the pipe through to the other side, then out
C) Leave the pipe in place
D) None of the above

Question 16

What must the nurse remember when using a foam dressing?

A) No secondary dressing is required
B) Either side may be applied facing the wound
C) Not all foam dressings are the same
D) Foam cannot be used in the presence of an infection

Question 17

The nurse would consider a dry dressing appropriate for a wound that requires which of the following?

A) Protection
B) Debridement
C) Absorption of heavy exudate
D) Healing by second intention

Question 18

Understanding WVTR and how dressing types affect water transmission are important in selection of proper wound dressings for specific wounds.When the following dressings are compared,which is seen to have a low WVTR?

A) Hydrocolloid dressings
B) Impregnated gauze dressings
C) Foam dressings
D) Gauze dressings

Question 19

What should the nurse do for a patient with a sudden severe hemorrhage?

A) Go for help
B) Drape the patient
C) Apply direct pressure
D) Put on clean or sterile gloves

Question 20

The nurse is caring for a patient who has a wound healing by primary intention that has little to no drainage.Which dressing is most appropriate for this type of wound?

A) Moist-to-dry dressing
B) Hydrocolloid dressing
C) Dry dressing
D) Hydrogel dressing

Question 21

___________ healing takes place when tissue is cleanly cut and the margins are reapproximated.

Question 22

The nurse is preparing to apply a bandage to a dressing on the wrist of a small child.How should the nurse proceed?

A) Use a 3-inch bandage
B) Use a 2-inch bandage
C) Apply from the elbow toward the wrist
D) Secure the bandage with a safety pin

Question 23

How does a nurse categorize for documentation exudate that is clear and watery?

A) Serous
B) Purulent
C) Sanguineous
D) Serosanguineous

Question 24

Negative-pressure wound therapy (NPWT)would be contraindicated in which of the following? (Select all that apply.)

A) Dehisced wounds
B) Pressure ulcers
C) Malignancies
D) Necrotic tissue with eschar

Question 25

A __________ dressing comes in direct contact with the wound bed.

Question 26

Negative-pressure wound therapy (NPWT)enhances wound healing by which of the following? (Select all that apply.)

A) Decreases the rate of tissue granulation
B) Reduces moisture in a wound
C) Decreases oxygen tension in the wound
D) Decreases bacterial counts in the wound

Question 27

_______________ dressings (e.g.,Op-Site,Tegaderm)allow you to assess the wound without removing the dressing.

Question 28

_____________ dressings cover or hold primary dressings in place.

Question 29

The nurse is caring for a patient who has a negative-pressure dressing.The nurse realizes that initially the dressing should be:

A) Changed every shift
B) Changed daily
C) Changed every 8 hours
D) Intact for 22 of 24 hours

Question 30

The nurse is preparing to change the negative-pressure dressing.What is the recommended procedure for removing the old dressing?

A) Remove the dressing while it is dry to enhance debridement
B) Instill normal saline into the tubing to soak underneath the dressing
C) Instill alcohol into the tubing to soak underneath the dressing
D) Inject bupivacaine through the dressing into the sponge

Question 31

In caring for a patient who has an abdominal binder,it is expected that the nurse will do which of the following? (Select all that apply.)

A) Remove the binder at least every 8 hours
B) Evaluate the patient's ability to ventilate every 4 hours
C) Evaluate the patient's ability to ventilate every 8 hours
D) Remove the binder at least daily

Question 32

Both _________________ debriding agents are applied directly to the wound bed and act by breaking down dead tissue.

Question 33

____________ dressings contain a shiny,nonadherent surface on one side that does not stick to the wound.Drainage passes through the nonadherent surface to the outer gauze dressing.

Question 34

Which of the following is an appropriate procedure for the nurse to implement during the application of an absorption or alginate dressing?

A) Never cut the dressing to fit the wound
B) Irrigate the wound gently to remove residual gel
C) Fill the wound cavity entirely with the dressing material
D) Never use a secondary dressing

Question 35

The nurse is caring for a patient who had a negative-pressure wound dressing.The nurse realizes that the system is working properly when the vacuum setting is set at which of the following levels?

A) -40 mm Hg
B) -210 mm Hg
C) -125 mm Hg
D) -25 mm Hg

Question 36

Healing by __________ intention occurs when a wound is left open.Healing results in the formation of granulation tissue from the bottom of the wound and eventual epithelialization from the sides of the wound to close the defect.

Question 37

Which of the following are examples of wounds that heal by secondary intention? (Select all that apply.)

A) Burns
B) Surgical incisions
C) Infected wounds
D) Deep pressure ulcers

Question 38

Hydrocolloid dressings are used for which of the following? (Select all that apply.)

A) Maintaining a moist wound environment
B) Autolytic debriding of necrotic wounds
C) Absorption of profusely draining wounds
D) Protecting from friction

Question 39

Dressings serve several functions.Which of the following is a function of a dressing? (Select all that apply.)

A) Maintains a moist environment
B) Prevents the spread of microorganisms
C) Increases patient comfort
D) Controls bleeding
E) None of above

Question 40

_______________ dressings are used for wounds that require debridement.

Question 41

_______________ is a type of therapy that speeds wound healing by applying localized negative pressure to draw the edges of a wound together.

Question 42

The _____________ dressings (DuoDERM,Restore,Tegasorb)provide a moist environment for wound healing while facilitating the softening and subsequent removal of wound debris.

Question 43

______ dressings (e.g.,Allevyn,PolyMem,Lyofoam)absorb light to heavy amounts of exudate,are conformable,and can easily be made to fit a wound.These properties make them especially useful for treating draining ulcers.

Question 44

_________________ dressings (e.g.,Curisol,IntraSite Gel,Vigilon)have a high moisture content (95%),causing them to swell and retain fluid.They are useful over clean,moist,or macerated tissues.

Question 45

A _________ bandage is a temporary treatment to control excessive bleeding.

Question 46

______________ through a wound dressing is a reliable measure of the moisture retention capacity of the dressings.

Question 47

______________ dressings (e.g.,Algisite M,Restore,Sorbisan)are highly absorbent and absorb serous fluid or exudate to form a hydrophilic gel that conforms to the shape of the wound.

Question 48

A _______________ is a clear,adherent,nonabsorptive,polyurethane moisture- and vapor-permeable dressing that often is used following laparoscopic surgery,for protection over high-friction areas,and as a dressing over an intravenous (IV)catheter.

Question 49

To support large abdominal incisions (e.g.,following hernia repair)that are vulnerable to tension or stress as the patient moves or coughs,the nurse expects that the doctor will order an ____________.