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ENA Wound Management Exam Questions with Detailed Correct Answers.

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ENA Wound Management Exam Questions with Detailed Correct Answers. Four patients come to the emergency department with identical leg wounds sustained in a 2-foot fall when a deck collapsed. Which patient is most likely to have impaired wound healing? A. A 45-year-old obese man who has type 2...

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  • 22 de octubre de 2024
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ENA Wound Management Exam
Questions with Detailed Correct
Answers.
Four patients come to the emergency department with identical leg wounds sustained in a 2-foot fall
when a deck collapsed. Which patient is most likely to have impaired wound healing?



A. A 45-year-old obese man who has type 2 diabetes mellitus and steroid-dependent asthma.

B. A 23-year-old man who has no significant medical history and whose last tetanus immunization was
more than 10 years ago.

C. A 54-year-old woman who currently takes warfarin (Coumadin) for chronic atrial fibrillation.

D. A 17-yearl-old adolescent girl who has sickle cell disease. - CORRECT ANSWER A



For a patient who was treated for an avulsion, which discharge instruction is appropriate?



A. Return in 2 days for removal of the packing and for a wound check.

B. Use a sunscreen or wear protective clothing for at least 6 months to prevent permanent tissue
discoloration.

C. Keep the area splinted until advised otherwise by your primary physician.

D. Keep the wound covered with a bulky dressing to protect the exposed tissue. - CORRECT ANSWER D



Surgical glue (DERMABOND) provides which type of wound closure?



A. Primary intention

B. Secondary intention

C. Delayed closure

D. Tertiary intention - CORRECT ANSWER A

, A patient presents to the emergency department after falling from her bicycle and landing in gravel. She
has multiple abrasions on both arms and legs. After thorough cleansing, the wounds require dressing
before the patient is discharged. For this patient, which wound dressing strategy promotes optimal
wound healing?



A. Cover all the wounds with transparent film dressings.

B. Cover the wounds with topical antibiotic ointment and nonadhesive dressings.

C. Leave the wounds open to the air so that they can heal more rapidly.

D. Dry the areas and then cover all the wounds with gauze dressings. - CORRECT ANSWER B



Which statement accurately characterizes wound care?



A. A tetanus-prone wound can result from a crushing mechanism.

B. Uncomplicated minor wounds require prophylactic antibiotics.

C. Tetanus toxoid provides passive immunization against tetanus.

D. The most effective intervention to reduce the risk of infection is antibiotic administration. - CORRECT
ANSWER A



Which injury is characterized by full-thickness tissue loss and commonly affects the fingertips or tip of
the nose?



A. Laceration

B. Abrasion

C. Contusion

D. Avulsion - CORRECT ANSWER D



Which type of wound healing occurs when wound edges can be approximated and underlying structures
are aligned, eliminating dead space?



A. Secondary intention

B. Primary intention

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