*NURSING > TEST BANK > Chapter 38_ Wound Care and Irrigations _ Nursing School Test Banks Best Graded (All)

Chapter 38_ Wound Care and Irrigations _ Nursing School Test Banks Best Graded

Document Content and Description Below

Chapter 38: Wound Care and Irrigations MULTIPLE CHOICE 1. When is healing by primary intention expected? a. When the wound is left open and is allowed to heal b. When a surgical wound is left open... for 3 to 5 days c. When connective tissue development is evident d. When the edges of a clean incision remain close together ANS: D Healing by primary intention occurs when the edges of a clean surgical incision remain close together. The wound heals quickly, and tissue loss is minimal or absent. The skin cells quickly regenerate, and the capillary walls stretch across under the suture line to form a smooth surface as they join. Wounds that are left open and are allowed to heal by scar formation are classified as healing by secondary intention. Connective tissue development is evident during healing by secondary intention. Healing by tertiary 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. DIF: Cognitive Level: Comprehension REF: Text reference: p. 922 OBJ: Differentiate between primary and secondary intention wound healing. TOP: Primary Intention KEY: Nursing Process Step: Assessment Students Chat Room 13 2/20/2017 Chapter 38: Wound Care and Irrigations | Nursing School Test Banks https://nursingtestbank.info/chapter­38­wound­care­and­irrigations/ 2/24 MSC: NCLEX: Physiological Integrity 2. The nurse is caring for a patient who has a dressing over a surgical wound created the night before. The dressing has never been changed. How should the nurse proceed? a. Change the dressing so she can assess the wound. b. Administer an analgesic 30 to 45 minutes before a dressing change. c. Culture the wound if wound exudate is present. d. Administer an analgesic 30 minutes after a dressing change. ANS: B To promote patient comfort, administer an analgesic as ordered, usually 30 to 45 minutes before changing the dressing. However, you will need to assess to determine the best time for analgesic administration before providing wound care. Do not remove an initial surgical dressing for direct wound inspection until a physician writes a medical order for removal. The presence of wound exudate is an expected stage of epithelial cell growth. DIF: Cognitive Level: Application REF: Text reference: p. 922 OBJ: Perform a wound assessment. TOP: Medicating the Patient Before Dressing Changes KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity 3. The nurse is caring for a patient with a large stasis ulcer. She has just changed the wound dressing and is using a negative­pressure wound system. What can the nurse tell the patient about the functioning of this system? a. Decreases the amount of angiogenesis Students Chat Room 13 2/20/2017 Chapter 38: Wound Care and Irrigations | Nursing School Test Banks https://nursingtestbank.info/chapter­38­wound­care­and­irrigations/ 3/24 b. Reduces mechanical stretch of tissue c. Dressing should not need to be changed for 48 hours d. Helps create a dry environment ANS: C The dressing is changed on a scheduled basis, usually no earlier than 48 hours. Researchers believe that blood flow increases because of the removal of wound fluid and angiogenesis (development of new blood vessels), and that this stimulates the production of new blood vessels via mechanical stretch of the tissue. The dressing placed into the wound maintains a moist environment to facilitate healing. A suction device is placed over the dressing, and the dressing, suction, and wound area are covered with a transparent dressing, which provides the air­tight seal necessary for negative­pressure wound therapy (NPWT). DIF: Cognitive Level: Application REF: Text reference: p. 923 OBJ: Perform a wound assessment. TOP: Negative­Pressure Wound Therapy (NPWT) KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity 4. The nurse is in the process of irrigating the wound for a patient who has a large pressure ulcer on his buttock. How should the nurse proceed? a. Use irrigation pressures of less than 4 psi. b. Cleanse in a direction from most contaminated to least contaminated. c. Irrigate so that the solution flows from least contaminated to most contaminated. d. Irrigate with clean irrigation solution only. ANS: C Students Chat Room 13 2/20/2017 Chapter 38: Wound Care and Irrigations | Nursing School Test Banks https://nursingtestbank.info/chapter­38­wound­care­and­irrigations/ 4/24 When one is irrigating, all the solution flows from the least contaminated to the most contaminated area. The pressure needed to irrigate wounds is between 4 and 15 psi. Irrigating solutions are sterile. DIF: Cognitive Level: Application REF: Text reference: p. 923 OBJ: Perform wound irrigation. TOP: Irrigation KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity 5. The nurse is changing a surgical dressing and is cleansing the wound. She knows that: a. the incision line should be cleansed last. b. she should start at one end of the incision line and swab the entire length. c. she should start at the center of the incision line and swab toward one end. d. she should work in a circular motion around the incision line. ANS: C The center is the most important part of the suture line; therefore, using a sterile swab or gauze, clean the suture line by starting at the center of the suture line and working toward one end. With another sterile swab or gauze, start at the center of the incision and work toward the other end. All other cleansing involves moving from one end to the other on each side of the incision. Work in straight lines, moving away from the suture line with each successive stroke. [Show More]

Last updated: 9 months ago

Preview 1 out of 24 pages

Reviews( 0 )

Recommended For You

 *NURSING> TEST BANK > Chapter 8: Physiological and Psychosocial Changes During Pregnancy Nursing School Test Banks (All)

preview
Chapter 8: Physiological and Psychosocial Changes During Pregnancy Nursing School Test Banks

Chapter 8: Physiological and Psychosocial Changes During Pregnancy Nursing School Test BanksChapter 8: Physiological and Psychosocial Changes During Pregnancy Nursing School Test BanksChapter 8: Physi...

By Quiz Merchant , Uploaded: Nov 15, 2021

$3.5

 *NURSING> TEST BANK > NURS MISC Community-Based Nursing Practice (FREE)|Nursing School Test Banks,100% CORRECT (All)

preview
NURS MISC Community-Based Nursing Practice (FREE)|Nursing School Test Banks,100% CORRECT

NURS MISC Community-Based Nursing Practice (FREE)|Nursing School Test Banks Chapter 3: Community-Based Nursing Practice(FREE) Test Bank MULTIPLE CHOICE 1. Public health nursing differs f...

By securegrades , Uploaded: Nov 13, 2022

$13

 *NURSING> TEST BANK > NURS MISC The Health Care Delivery System | Nursing School Test Banks,100% CORRECT (All)

preview
NURS MISC The Health Care Delivery System | Nursing School Test Banks,100% CORRECT

NURS MISC The Health Care Delivery System | Nursing School Test Banks Chapter 2: The Health Care Delivery System Test Bank MULTIPLE CHOICE 1. The nurse is caring for a patient who is on Me...

By securegrades , Uploaded: Nov 13, 2022

$13

 *NURSING> TEST BANK > Chapter 18: Care of Patients with Arthritis and Other Connective Tissue Diseases Nursing School Test Banks (All)

preview
Chapter 18: Care of Patients with Arthritis and Other Connective Tissue Diseases Nursing School Test Banks

Chapter 18: Care of Patients with Arthritis and Other Connective Tissue Diseases Ignatavicius: Medical-Surgical Nursing, 8th Edition MULTIPLE CHOICE 1. A nurse is working with a community group pro...

By Expert , Uploaded: Mar 23, 2021

$13

 *NURSING> TEST BANK > Chapter 36_ Preoperative and Postoperative Care _ Nursing School Test Banks Questions and Answers (All)

preview
Chapter 36_ Preoperative and Postoperative Care _ Nursing School Test Banks Questions and Answers

Chapter 36: Preoperative and Postoperative Care MULTIPLE CHOICE 1. When planning care for a surgical patient, the nurse recognizes that surgical site infections account for what percentage of hospi...

By Nutmegs , Uploaded: Sep 09, 2021

$12

 *NURSING> TEST BANK > NURS MISC Theoretical Foundations of Nursing Practice(FREE)| Nursing School Test Banks,100% CORRECT (All)

preview
NURS MISC Theoretical Foundations of Nursing Practice(FREE)| Nursing School Test Banks,100% CORRECT

NURS MISC Theoretical Foundations of Nursing Practice(FREE)| Nursing School Test Banks Chapter 4: Theoretical Foundations of Nursing Practice(FREE) Test Bank MULTIPLE CHOICE 1. The nursing...

By securegrades , Uploaded: Nov 13, 2022

$13

 *NURSING> TEST BANK > NURS MISC Nursing Today, Fundamental of nursing\Nursing School Test Banks,100% CORRECT (All)

preview
NURS MISC Nursing Today, Fundamental of nursing\Nursing School Test Banks,100% CORRECT

NURS MISC Nursing Today, Fundamental of nursing\Nursing School Test Banks Chapter 1: Nursing Today, Fundamental of nursing MULTIPLE CHOICE 1. The first practicing nurse epidemiologist was...

By securegrades , Uploaded: Nov 13, 2022

$14

 *NURSING> TEST BANK > NURS MISC The Health Care Delivery System | Nursing School Test Banks,100% CORRECT (All)

preview
NURS MISC The Health Care Delivery System | Nursing School Test Banks,100% CORRECT

NURS MISC The Health Care Delivery System | Nursing School Test Banks Chapter 2: The Health Care Delivery System Test Bank MULTIPLE CHOICE 1. The nurse is caring for a patient who is on Me...

By Nolan19 , Uploaded: Nov 21, 2022

$14

 *NURSING> TEST BANK > Chapter 39_ Dressings, Bandages, and Binders _ Nursing School Test Banks Questions and Answers (All)

preview
Chapter 39_ Dressings, Bandages, and Binders _ Nursing School Test Banks Questions and Answers

Chapter 39: Dressings, Bandages, and Binders MULTIPLE CHOICE 1. The nurse is caring for a patient who is bleeding. To control bleeding, she would apply a _____ dressing. a. pressure b. alginate c...

By Nutmegs , Uploaded: Sep 09, 2021

$12.5

 *NURSING> TEST BANK > NURS MISC Theoretical Foundations of Nursing Practice(FREE)| Nursing School Test Banks,100% CORRECT (All)

preview
NURS MISC Theoretical Foundations of Nursing Practice(FREE)| Nursing School Test Banks,100% CORRECT

NURS MISC Theoretical Foundations of Nursing Practice(FREE)| Nursing School Test Banks Chapter 4: Theoretical Foundations of Nursing Practice(FREE) Test Bank MULTIPLE CHOICE 1. The nursing...

By Nolan19 , Uploaded: Nov 21, 2022

$15

$12.00

Add to cart

Instant download

Can't find what you want? Try our AI powered Search

OR

GET ASSIGNMENT HELP
46
0

Document information


Connected school, study & course



About the document


Uploaded On

Sep 09, 2021

Number of pages

24

Written in

Seller


seller-icon
Nutmegs

Member since 2 years

558 Documents Sold


Additional information

This document has been written for:

Uploaded

Sep 09, 2021

Downloads

 0

Views

 46

Document Keyword Tags

THE BEST STUDY GUIDES

Avoid resits and achieve higher grades with the best study guides, textbook notes, and class notes written by your fellow students

custom preview

Avoid examination resits

Your fellow students know the appropriate material to use to deliver high quality content. With this great service and assistance from fellow students, you can become well prepared and avoid having to resits exams.

custom preview

Get the best grades

Your fellow student knows the best materials to research on and use. This guarantee you the best grades in your examination. Your fellow students use high quality materials, textbooks and notes to ensure high quality

custom preview

Earn from your notes

Get paid by selling your notes and study materials to other students. Earn alot of cash and help other students in study by providing them with appropriate and high quality study materials.


$12.00

WHAT STUDENTS SAY ABOUT US


What is Browsegrades

In Browsegrades, a student can earn by offering help to other student. Students can help other students with materials by upploading their notes and earn money.

We are here to help

We're available through e-mail, Twitter, Facebook, and live chat.
 FAQ
 Questions? Leave a message!

Follow us on
 Twitter

Copyright © Browsegrades · High quality services·