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Chapter 29: Skin Integrity and Wound Care Questions and Answers (100% Pass)
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Chapter 29: Skin Integrity and Wound Care Questions and Answers (100% Pass)
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©PREP4EXAMS @2024 [REAL EXAM DUMPS] Wednesday, July 17, 2024 1:27 AMChapter 29: Skin Integrity and Wound Care
Questions and Answers (100% Pass)
1. The nurse knows which description would be classified as a closed wound?
a. A large bruise on the side of the face
b. A surgical incision that is sutured closed
c. A puncture wound that is healing
d. An abrasion on the leg - ✔️✔️ANS: A.
EXP: Closed wound the skin is still intact. Open wound actual break in the skin's surface.
The nurse is educating the patient about the signs and symptoms of a wound infection. Which
statement indicates a need for further education?
a. "The wound will be red."
b. "The wound will have pus."
c. "The wound will be warm."
d. "The wound will need to be untreated." - ✔️✔️ANS: B
EXP: An infected wound shows clinic signs of redness, warmth, and increased drainage.
The nurse identifies which type of wounds heal by tertiary intention?
a. An acute wound in which the patient has sutures placed when it happened.
b. A pressure ulcer that was treated with dressing changes and is healed.
c. An acute wound in which surgical glue was used to close the wound.
d. A wound that was left open initially and closed later with sutures. - ✔️✔️ANS: D
EXP: When a delay occurs between injury and closure, the wound healing is said to happen
by
tertiary intention. Wounds such as surgical incisions or traumatic wounds in which the edges
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, ©PREP4EXAMS @2024 [REAL EXAM DUMPS] Wednesday, July 17, 2024 1:27 AM
of the wound can be approximated (brought together) to heal are examples of acute wounds.
The nurse is caring for a patient who is postoperative day one from an abdominal surgery.
When the patient complains of a "popping sensation" and a wetness in the dressing, the nurse
immediately suspects which complication?
a. A wound infection
b. The stitches came loose
c. Wound dehiscence
d. Wound crepitus - ✔️✔️ANS: C. Wound dehiscence
The nurse is caring for a postoperative patient who has had abdominal surgery and whose
wound has completely eviscerated when the nurse walks into the room. In addition to
notifying the surgeon, what should the nurse do?
a. Cover the wound with a sterile gauze pad.
b. Cover the wound with a transparent dressing.
c. Put pressure on the wound with a sterile gauze pad.
d. Cover the wound with gauze soaked with normal saline. - ✔️✔️ANS: D. Cover the wound
with gauze soaked with normal saline.
The nurse identifies what goal to be the most appropriate goal for a patient with a stage 3
pressure ulcer who has a Nursing diagnosis of Impaired skin integrity?
a. Wound will be completely healed in 72 hours.
b. Wound will show signs of healing within 2 weeks.
c. Patient will develop no new pressure ulcers.
d. Patient will ambulate twice a day. - ✔️✔️ANS: B. Wound will show signs of healing within
2 weeks.
A new nurse is delegating care of a chronic, nonsterile wound to a UAP. What action by the
new nurse causes the preceptor to intervene?
a. The nurse asks the UAP to assess the wound.
b. The nurse asks the UAP to report increased wound drainage.
c. The nurse asks the UAP to observe changes in dietary intake.
d. The nurse asks the UAP to change the dressing. - ✔️✔️ANS: A. The nurse asks the UAP to
assess the wound.
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