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B260 chapt 48: Skin integrity Questions With Complete Solutions
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B260 chapt 48: Skin integrity Questions With Complete Solutions
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B260 chapt 48: Skin integrity Questions With Complete Solutions Why should the nurse form a cuff on a waterproof bag and place it near the bed while performing wound irrigation? 1. To protect the bedding 2. To hold contaminated dressings to be discarded 3. To reduce the transmission of microorganisms 4. To protect the nurse from splashes of blood and body fluids hhCorrect Answers hh2. To hold contaminated dressings to be discarded Cuffing a waterproof bag allows for a large opening, permitting placement of contaminated dressings without the nurse having to touch the refuse bag itself. Bedding may be protected by placing padding or an extra towel on the bed. Transmission of microorganis ms is reduced by the nurse wearing sterile gloves. A gown, mask, or goggles may be worn to protect the nurse from splashes of blood and body fluids. Which type of dressing is preferred for dry wounds? 1. Hydrogel 2. Hydrocolloid 3. Calcium alginate 4. Debriding enzymes hhCorrect Answers hh1. Hydrogel Hydrogel dressings hydrate the wounds and provide a moist environment. Therefore, these dressings are preferred for dry wounds. Hydrocolloid dressings help in the healing of clean granulating wounds and a utolytically debride necrotic wounds. Calcium alginate dressings should not be used in dry wounds, because they require secondary dressing. Debriding enzymes should be applied only over the necrotic areas of the wounds; they are not used specifically for d ry wounds. What is the rationale behind applying an elastic bandage over an arterial puncture site? 1. To prevent infection 2. To immobilize the body part 3. To create pressure 4. To support the wound hhCorrect Answers hh3. To create pressure An elastic b andage would be applied over an arterial puncture site to create pressure. It is the purpose of the underlying dressing, not the bandage, to prevent infection. An elastic bandage is used for immobilization for a case of a sprain or fracture. An elastic ban dage would be used for wound support on a wound much larger than an arterial puncture. What color is sanguineous drainage on a patient's dressing? 1. Pink 2. Clear 3. Yellow 4. Bright red hhCorrect Answers hh4. Bright red Sanguineous drainage indicates fr esh bleeding and is bright red. Serosanguineous drainage is pink. Serous drainage is clear. Purulent drainage is thick and yellow. Which task can be delegated to nursing assistive personnel (NAP) in caring for a patient who has pressure ulcers? 1. Applyi ng an elastic bandage 2. Performing wound irrigation 3. Implementing negative -pressure wound therapy 4. Assessing the patient for the risk of additional pressure ulcers hhCorrect Answers hh1. Applying an elastic bandage The task of applying an elastic bandage can be delegated to nursing assistive personnel (NAP). The task of performing wound irrigation cannot be delegated to NAP, because it requires a sterile technique for wound care. The task of implementing negative -pressure wound therapy cannot be delegated to NAP. NAP are not allowed to assess patients for the risk of pressure ulcers; only health care providers can perform this assessment. A patient reports pain in the ankle joint due to sprain. Which nursing interven tion is beneficial to the patient? 1. Applying elastic webbing 2. Applying an elastic bandage 3. Applying an elastic pressure bandage 4. Applying a stretch pressure bandage hhCorrect Answers hh2. Applying an elastic bandage An elastic bandage helps immobil ize and supports healing of a sprained the ankle. Elastic webbing is used to secure dressings. An elastic pressure bandage is used to create pressure over a body part, for instance, to prevent bleeding. A stretch pressure bandage may be applied to reduce o r prevent edema but not to immobilize and prevent pain from a sprain. pg 1218 What is the role of vitamin A in wound healing? 1. Quickens fibroplasia 2. Acts as an antioxidant 3. Promotes wound closure 4. Acts as immune function hhCorrect Answers hh3. Prom otes wound closure Vitamin A promotes epithelialization, wound closure, inflammatory response, angiogenesis, and collagen formation. Protein quickens fibroplasia and acts as immune function. Vitamin C acts as an antioxidant. Which body parts should be dr essed in a figure -eight manner? 1. Joints 2. Thighs 3. Lower arms 4. Upper arms hhCorrect Answers hh1. Joints Figure -eight dressings are used to cover joints because they provide a snug fit and immobilization. Cylindrical body parts like the thighs, upper arms, and lower arms should be dressed in a spiral manner. p. 1239Alle Vorteile der Zusammenfassungen von Stuvia auf einen Blick:
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