Exam (elaborations)
Wound Rapid Review: Principles Of Wound Management – Questions And Answers
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Wound Rapid Review: Principles Of Wound Management – Questions And Answers
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Wound Rapid Review: Principles Of WoundManagement – Questions And Answers
The wound nurse is educating a family member providing Woundcare for a
stage four pressure injury with 100% necrosis. What technique is
recommended in cleansing of the Wound? Right Ans - Use an antiseptic
solution and irrigate the wound with 4 to 15 psi force.
Enzymatic debridement Right Ans - Safe form of debridement for those
who are immunocompromised.
What is the primary goal of wound debridement? Right Ans - Control and
potentially prevent wound infections, particularly in a deteriorating wound.
Reduce bioburden in the wound. This reduces the risk of infection.
autolytic debridement Right Ans - using body's own WBCs and enzymes to
break down no viable tissue. Contraindicated an immuno compromised or
those with poor arterial perfusion.
Certified who nurse is clear to perform conservative sharp wound
debridement CSWD. What is a contraindication for CSWD? Right Ans -
Immunocompromised due to the risk of bacterial release and entering the
bloodstream causing sepsis. avoiding patients with clotting disorders due to
the risk of bleeding.
What type of debridement is recognized as evidence-based care for the
patient with hyper granulation tissue and Epibole? Right Ans - Chemical
debridement such as silver nitrate. It is non-selective and caustic.
Also used to provide hemostasis.
Suspect critical colonization that may lead to wound infection unless there is a
change in care, if there is? Right Ans - No change in the wound dimensions
for two weeks, increase x-ray and odor. Note you cannot see biofilms with the
naked eye.
What is indicative of a wound infection? Right Ans - Friable, read wound
bed, increase in exudate production, odor, periwound erythema.
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