Exam (elaborations)
Chapter 22_ Surgical Wound Care (1)
- Course
- Institution
Chapter 22_ Surgical Wound Care (1)
[Show more]
Seller
Follow
modockochieng06
Content preview
Chapter 22: Surgical Wound CareANS: C
When wounds are kept open by a drain, they heal by tertiary intention.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Pages 335 OBJ: 4 TOP: Tertiary intention
KEY: Nursing Process Step: Implementation - ANS-1. The nurse is instructing a patient who has
a drain in a surgical wound. How will the nurse indicate that the wound will heal?
a. Primary intention
b. Secondary intention
c. Tertiary intention
d. Deliberate intention
ANS: C
To assist a postoperative patient to cough, splinting the abdomen with pillow, hands, or a towel
roll is helpful to relieve stress on the suture line.
PTS: 1 DIF: Cognitive Level: Application REF: Page 335
OBJ: 8 TOP: Suture lines KEY: Nursing Process Step: Implementation - ANS-2. What technique
will the nurse implement to assist the postoperative patient to cough?
a. Support the patient's back
b. Offer an antitussive
c. Splint the abdomen with a pillow
d. Lean patient against the bedside table
ANS: B
The term sanguineous means bloody. It is indicative of active bleeding.
PTS: 1 DIF: Cognitive Level: Application REF: Page 337, Table 14-2 OBJ: 1 TOP: Drainage
KEY: Nursing Process Step: Assessment - ANS-3. The day following surgery, the nurse notes
bloody drainage on the dressing. How will the nurse describe this drainage when documenting?
a. Serosanguineous
b. Sanguineous
c. Serous
d. Purulent
ANS: B
Occlusive dressings keep the incision moist and increase epithelialization.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 338 OBJ: 7 TOP: Occlusive dressings
KEY: Nursing Process Step: Implementation - ANS-4. What is the advantage of an occlusive
dressing?
, a. Allows air to the incision
b. Keeps the incision moist
c. Delays epithelialization
d. Does not have to be changed
ANS: D
When a dressing has adhered to the wound, the nurse may moisten the dressing with sterile
water or sterile normal saline to loosen it.
PTS: 1 DIF: Cognitive Level: Application REF: Page 339 OBJ: 7 TOP: Dry dressings
KEY: Nursing Process Step: Implementation - ANS-5. When removing the dressing on a patient,
the nurse discovers that the gauze dressing has adhered to the wound. What intervention
should the nurse implement?
a. Call the RN
b. Gently remove the gauze with sterile forceps
c. Cover with occlusive dressing
d. Moisten the dressing with sterile water
ANS: C
When wound irrigation is done at home with a hand-held showerhead, the showerhead should
be held approximately 12 inches from the wound.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 346 OBJ: 11 TOP: Wound irrigation
KEY: Nursing Process Step: Implementation - ANS-6. The nurse is providing instruction to a
patient regarding home wound irrigation. How far should the patient hold the hand-held
showerhead from the wound when irrigating the wound?
a. 2.5 inches
b. 6 inches
c. 12 inches
d. 18 inches
ANS: A
The irrigant should flow from the least contaminated area to the most contaminated area to
prevent microorganisms from entering the wound.
PTS: 1 DIF: Cognitive Level: Application REF: Page 343 OBJ: 11 TOP: Wound irrigation
KEY: Nursing Process Step: Implementation - ANS-7. The nurse is irrigating a leg wound of a
patient on the trauma unit. Where should the nurse direct the flow of the irrigant?
a. From the area of least contamination to the area of most contamination
b. Forcefully into the wound
c. Gently over the skin into the wound
d. From a distance of about 12 inches
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller modockochieng06. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
79373 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now