Deck 29: Wound Care

Question 1

Which of the following are common sites for skin tears?

A) Hands
B) Shoulder
C) Ears
D) Sacrum

Answer 1

Hands

Question 2

Skin tears are caused by which of the following?

A) Friction and shearing
B) Lifting a body part
C) Light pressure on the skin
D) Incontinence and moisture on the skin

Answer 2

Friction and shearing

Question 3

Which statement about skin tears is correct?

A) Skin tears typically occur when the person is sleeping.
B) Skin tears can cause an infection.
C) A skin tear is not painful to the person.
D) Skin tears usually occur over a bony area.

Answer 3

Skin tears can cause an infection.

Question 4

A resident is in bed. The person needs repositioning. Which of the following will help prevent skin tears?

A) Raising bed rails
B) Encourage the person to drag his or her hips across the bed instead of lifting them
C) Using an assist device to move the person
D) Using pillows only if absolutely necessary

Question 5

Which of the following are common with venous ulcers?

A) Blisters
B) Decreased body weight
C) Skin that is moist, soft, and smooth
D) Itching

Question 6

Which statement about venous ulcers is correct?

A) They commonly occur on the arms and shoulders.
B) They are painful but heal quickly.
C) You need to cut the person's toenails to prevent skin tears and scratching.
D) The person has difficulty walking.

Question 7

Which will help prevent circulatory ulcers?

A) Providing skin care once per week
B) Keeping linens clean and dry
C) Scrubbing the skin during bathing
D) Making sure shoes are one size larger than measured

Question 8

A resident has a venous ulcer. You are helping the person dress. The person can wear which of the following?

A) Tight fitting pants
B) Garters to hold socks in place
C) Tight fitting shoes
D) A sweatshirt

Question 9

Elastic bandages and elastic stockings do which of the following?

A) Cause swelling.
B) Decrease circulation.
C) Prevent injury.
D) Prevent infection.

Question 10

Which statement about elastic stockings is correct?

A) They are applied once the person gets out of bed.
B) They are removed every 8 hours for 30 minutes.
C) The person sits in the chair while the stockings are off.
D) The stocking should be folded over at the top.

Question 11

Elastic bandages are applied to the:

A) hands.
B) pelvis.
C) arms and legs.
D) abdomen.

Question 12

You are applying an elastic bandage to a person's left leg. Which is correct?

A) Have the person stand while you apply the bandage.
B) Face the person during the procedure.
C) Start at the top (proximal) part of the extremity.
D) Try not to expose the toes if possible.

Question 13

A resident has an arterial ulcer. The person's care includes which of the following?

A) Reminding the person not to sit with crossed legs
B) Making sure that the person is in a cool setting
C) Keeping the person's feet moist
D) Cutting the person's toenails

Question 14

A resident has an arterial ulcer. Which will promote healing?

A) The person smoking
B) Massaging pressure points
C) Having the person prop her or his heels on the mattress of the bed
D) Having a bed cradle on the bed

Question 15

When observing a wound, you can do which of the following?

A) Scrub the wound with a gauze pad to remove debris.
B) Apply heat to the wound.
C) Observe the surrounding skin.
D) Measure the wound's depth.

Question 16

Which is a purpose of wound dressings?

A) Protect the wound.
B) Prevent absorption of drainage.
C) Moisten any dead tissue.
D) Prevent moisture.

Question 17

Which is a purpose of wound dressings?

A) Provide a dry environment for the wound.
B) Promote the removal of skin.
C) Promote arterial and venous circulation.
D) Cover wounds.

Question 18

The nurse asks you to apply a dry, non-sterile dressing. Which action is correct?

A) Telling the person what the drainage smells like
B) Removing tape by pulling it away from the wound
C) Removing dressings so the person sees the soiled side
D) Removing the old dressing gently

Question 19

The nurse asks you to apply a dry, non-sterile dressing. The dressing change causes pain and discomfort. What should you do?

A) Ask the person to take slow, deep breaths.
B) Distract the person during the dressing change.
C) Ask the nurse when a pain-relief drug was given.
D) Tell the person that the procedure will not hurt.

Question 20

Which statement about dressing changes is correct?

A) Contact with blood, body fluids, secretions, or excretion is unlikely.
B) The person tells you what dressing products to use.
C) For mental well-being, the person needs to look at the wound.
D) You need to control your nonverbal communication and body language during dressing changes.

Question 21

Binders are applied to which area?

A) Arms and legs
B) Abdomen
C) Shoulders
D) Buttocks

Question 22

A person has a wound. You are concerned with the person's basic needs. Which statement is correct?

A) It is uncommon for older persons to get skin wounds.
B) A wound can affect breathing and movement.
C) Infection is not typically a threat.
D) A wound increases the person's appetite.

Question 23

Warm and cold applications do which of the following?

A) Decrease wound healing.
B) Increase discomfort.
C) Prevent infection.
D) Reduce tissue swelling.

Question 24

Warm applications do which of the following?

A) Relieve pain.
B) Constrict muscles.
C) Decrease blood flow.
D) Increase joint stiffness.

Question 25

Heat is applied to a wrist. Which of the following are reported to the nurse at once?

A) Warm skin
B) Pink skin
C) Excessive redness
D) Smooth skin

Question 26

When applying warm or cold applications, which is correct?

A) Ask your peer how to use the equipment.
B) Expose as much skin as possible.
C) Place the call light within the person's reach.
D) Let the person choose the application site.

Question 27

Which will promote safety when applying a warm or cold application?

A) Follow person's preference for temperature settings.
B) Leave dry heat or cold applications open to air without covering them.
C) Observe the skin every 15 minutes for signs of complications.
D) Place the call light within the person's reach.

Question 28

Cold has which of the following effects?

A) Increasing blood flow
B) Increasing tissue swelling
C) Increasing bleeding
D) Numbing the skin

Question 29

Which of the following persons are at risk for complications from cold applications?

A) Younger person
B) Person with arthritis
C) Dark-skinned person
D) Person with sensory impairment

Question 30

Which of the following devices are filled with crushed ice?

A) Ice collar
B) Wound-vac
C) Bathtub
D) Cold compress

Question 31

A safe, comfortable setting is needed when applying heat or cold. Which will promote the person's comfort and safety?

A) Place the call light within the person's reach.
B) Place the water, phone, and requested items away from the person's reach so that they do not get anything wet.
C) Check the person at least once per shift.
D) Leave the person alone to provide for privacy.